Lisa Latrease McNeal, BSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6852-093213 Issued in MI

Practice address

2941 S Gulley Rd
Dearborn, MI 48124-3160

Phone

(313) 278-3040

NPI assigned

Dec 14, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Services to Enhance Potential

  • Developmentally Disabled Services Day Training Agency
  • Dearborn, MI
  • NPI 1295844454
  NPD

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1548972292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30715 SHIAWASSEE RD APT 64",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364366",
            "telephone_number": "248-719-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 S GULLEY RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243160",
            "telephone_number": "313-278-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "LISA",
        "middle_name": "LATREASE",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6852-093213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond McMeekins
• Christopher J McMellen, MD
• Tyara McMillan
• Taylor McMiller
• Ashley McNabb
• Martrell McNeal
• Monica McNeal
• Sean McNiff
• Benjamin McNulty, OTD, OTRL
• Shea Murphy McParlane, PA-C

• Social Worker in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.