Individual provider Active NPI

Takisha Lashore, LMSW

  • Social Worker
  • Canton, MI
National Provider Identifier
1629409602
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801088966 Issued in MI
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

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6801088966MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LJ4 Counseling and Consulting Services CurrentSince Jul 28, 2025 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.

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.

Verify at the official NPI Registry.