Active NPI
Lisa Kent LLC
- Clinical Social Worker
- West Bloomfield, MI
National Provider Identifier
1558136523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LISA KENT LLC
- Practice address
- 2485 Doleman Dr
West Bloomfield, MI 48324-1405 - Phone
- (248) 709-5510
- NPI assigned
- Nov 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Kent, LMSW
- Title
- Owner
- Phone
- (248) 709-5510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2485 Doleman Dr
West Bloomfield, MI 48324-1405
Mailing address
2485 Doleman Dr
West Bloomfield, MI 48324-1405
Phone (248) 709-5510
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716681600000",
"number": "1558136523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 DOLEMAN DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483241405",
"telephone_number": "248-709-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 DOLEMAN DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483241405",
"telephone_number": "248-709-5510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA KENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-20",
"last_updated": "2024-05-26",
"certification_date": "2024-05-26",
"status": "A",
"authorized_official_last_name": "KENT",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-709-5510",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.