Active NPI
Takisha Lashore, LMSW
- Social Worker
- Canton, MI
National Provider Identifier
1629409602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801088966
- Practice address
- 42517 Lilley Pointe Dr # 7
Canton, MI 48187-3854 - Phone
- (734) 646-6312
- NPI assigned
- Dec 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801088966 | MI | Primary |
Addresses
Primary practice location
42517 Lilley Pointe Dr # 7
Canton, MI 48187-3854
Mailing address
42517 Lilley Pointe Dr # 7
Canton, MI 48187-3854
Phone (734) 646-6312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801088966 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LJ4 Counseling and Consulting Services | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Canton, MI
- NPI 1669354601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1629409602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42517 LILLEY POINTE DR # 7",
"city": "CANTON",
"state": "MI",
"postal_code": "481873854",
"telephone_number": "734-646-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42517 LILLEY POINTE DR # 7",
"city": "CANTON",
"state": "MI",
"postal_code": "481873854",
"telephone_number": "734-646-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASHORE",
"first_name": "TAKISHA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801088966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.