Individual provider Active NPI

Lisa Michele Shaheen, LMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1497211551
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119929 Issued in MI
Practice address
1402 S Saginaw St
Flint, MI 48503-3705
Phone
(810) 922-8409
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801119929 MI Primary

Addresses

Primary practice location

1402 S Saginaw St
Flint, MI 48503-3705

Mailing address

2069 E Boatfield Ave
Burton, MI 48529-1711
Phone (810) 610-9309

Other practice location 1

2387 S Linden Rd Ste 138
Flint, MI 48532-5488
Phone (989) 475-4171

Other practice location 2

3253 Congress Ave
Saginaw, MI 48602-3106
Phone (989) 475-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609002926 MI Practitioner - Clinical Social Worker 1052821030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119929MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Healing Arts Center LLC Clinical CurrentSince Apr 12, 2025 Accepting new patients

Locations

2387 S Linden Rd
Ste 138
Flint, MI 48532
Phone (989) 475-4171

3323 Shattuck Rd
Ste 1
Saginaw, MI 48603
Phone (989) 475-4171

3995 Fashion Square Blvd
Ste 6
Saginaw, MI 48603
Phone (989) 475-4171

3253 Congress Ave
Saginaw, MI 48602
Phone (989) 475-4171

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1497211551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 E BOATFIELD AVE",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485291711",
            "telephone_number": "810-610-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033705",
            "telephone_number": "810-922-8409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2387 S Linden Rd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485325488",
            "country_code": "US",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3253 Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486023106",
            "country_code": "US",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2025-04-12",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.