Active NPI
Dana M Lacross, LMSW
- Social Worker
- Traverse City, MI
National Provider Identifier
1760770549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801085970
- Practice address
- 1515 Cass St
Suite D
Traverse City, MI 49684-4156 - Phone
- (231) 929-2612
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Adult Mental Health Clinic/Center
- Traverse City, MI
- NPI 1215455506
-
- Social Worker
- Traverse City, MI
- NPI 1093273377
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larch Tree Counseling and Wellness LLC | Social Worker | Past | Accepting new patients |
| Andrea Cassell LMSW LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801085970 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1515 Cass St
Suite D
Traverse City, MI 49684-4156
Mailing address
1515 Cass St
Suite D
Traverse City, MI 49684-4156
Phone (231) 929-2612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2017.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489276800000",
"number": "1760770549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CASS ST",
"address_2": "SUITE D",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844156",
"telephone_number": "231-929-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 CASS ST",
"address_2": "SUITE D",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496844156",
"telephone_number": "231-929-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACROSS",
"first_name": "DANA",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2017-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801085970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.