Individual provider Active NPI

Lisa Ann Wright, MSW

  • Clinical Social Worker
  • Lapeer, MI
National Provider Identifier
1619019270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086054 Issued in MI
Practice address
1134 S Lapeer Rd
Lapeer, MI 48446-3042
Phone
(810) 667-4111
Fax
(810) 667-4111
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801086054 MI Primary

Addresses

Primary practice location

1134 S Lapeer Rd
Lapeer, MI 48446-3042

Mailing address

1235 Chatwell Dr
Davison, MI 48423-2710
Phone (810) 614-4973

Other names 1

  • Miss Lisa Ann Craig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • 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
I20130116000119 MI Practitioner - Clinical Social Worker 3375796782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086054MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw County Community Mental Health Authority CurrentSince Oct 1, 2012 Accepting new patients
Nalo Therapy Center Clinical Past Accepting new patients

Locations

500 Hancock St
Saginaw, MI 48602
Phone (989) 797-3400

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619019270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 CHATWELL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232710",
            "telephone_number": "810-614-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463042",
            "telephone_number": "810-667-4111",
            "fax_number": "810-667-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CRAIG",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.