Individual provider Active NPI

Michelle L Liska, L.M.S.W.

  • Clinical Social Worker
  • Hillsdale, MI
National Provider Identifier
1720017106
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801082568 Issued in MI
Practice address
101 E Bacon St Suite 201
Hillsdale, MI 49242-1666
Phone
(517) 414-7749
Fax
(888) 414-2153
NPI assigned
Jun 30, 2006
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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 6801082568 MI Primary

Addresses

Primary practice location

101 E Bacon St Suite 201
Hillsdale, MI 49242-1666

Mailing address

1131 N Osseo Rd
PO Box 187
Hillsdale, MI 49242-9714
Phone (517) 414-7749

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

State licenses

LicenseStateTypeSpecialty
6801082568MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Liska Therapy Clinical CurrentSince Sep 20, 2020 Accepting new patients
Hillsdale Psychological Institute Clinical Past Accepting new patients
Gayle Seely LLC Past Accepting new patients

Locations

101 E Bacon St
Ste 201
Hillsdale, MI 49242
Phone (517) 414-7749

401 S Mechanic St
Jackson, MI 49201
Phone (517) 201-1121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1720017106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N OSSEO RD",
            "address_2": "PO BOX 187",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429714",
            "telephone_number": "517-414-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BACON ST SUITE 201",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421666",
            "telephone_number": "517-414-7749",
            "fax_number": "888-414-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKA",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.