Lisa Grifka, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094799 Issued in MI

Practice address

1115 S Van Dyke Rd Ste 1
Bad Axe, MI 48413-9615

Phone

(810) 689-4846

Fax

(810) 958-1430

NPI assigned

Feb 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Johnson, Thies Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1497253728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S LAKESHORE RD",
            "city": "CARSONVILLE",
            "state": "MI",
            "postal_code": "484199494",
            "telephone_number": "810-689-4846",
            "fax_number": "910-958-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S VAN DYKE RD STE 1",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139615",
            "telephone_number": "810-689-4846",
            "fax_number": "810-958-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFKA",
        "first_name": "LISA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JOHNSON, THIES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Bay Health Centers
• Great Lakes Consultant Group LLC
• Gregory a. Atkins
• Shelly J Grifka, LMSW
• Grace Guibord
• Tiffanie Guigar
• Alayna Guza
• Makenna Haag

• Clinical Social Worker in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.