Active NPI
Lisa Michel
- Social Worker
- Wauseon, OH
National Provider Identifier
1639351257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0600386
- Practice address
- 7320 State Highway 108
Suite a
Wauseon, OH 43567-8200 - Phone
- (419) 335-3732
- Fax
- (419) 335-3462
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | S0600386 | OH | Primary |
Addresses
Primary practice location
7320 State Highway 108
Suite a
Wauseon, OH 43567-8200
Mailing address
7320 State Highway 108
Suite a
Wauseon, OH 43567-8200
Phone (419) 335-3732
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0600386 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Past | 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.
-
- Community/Behavioral Health Agency
- Berea, OH
- NPI 1295096758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1639351257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 STATE HIGHWAY 108",
"address_2": "SUITE A",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435678200",
"telephone_number": "419-335-3732",
"fax_number": "419-335-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 STATE HIGHWAY 108",
"address_2": "SUITE A",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435678200",
"telephone_number": "419-335-3732",
"fax_number": "419-335-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0600386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.