Individual provider Active NPI

Lucia Marie Micheli, MSW CADC III

  • Addiction (Substance Use Disorder) Counselor
  • Elm Grove, WI
National Provider Identifier
1770633752
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11091 Issued in WI
Practice address
500 Elm Grove Rd
Suite 100 Trillium Care Group
Elm Grove, WI 53122
Phone
(262) 782-2090
Fax
(262) 782-2092
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11091 WI Primary
Clinical Social Worker 1041C0700X 1900121 WI

Addresses

Primary practice location

500 Elm Grove Rd
Suite 100 Trillium Care Group
Elm Grove, WI 53122

Mailing address

500 Elm Grove Rd
Suite 100 Trillium Care Group
Elm Grove, WI 53122
Phone (262) 782-2090

Other identifiers 1

IdentifierTypeStateIssuer
40957000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000618 WI Practitioner - Clinical Social Worker 1254399165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trillium Care Group LLCGroup PAC ID 7618935529, 4 clinicians

Practice addresses (Care Compare)

2363 S 102ND St
Suite 301
West Allis, WI 53227-2143
Phone (262) 782-2090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1900121WIMDClinical Social Worker
11091WIMDPharmacist
7335WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Care Group LLC Clinical CurrentSince Jul 19, 2007 Accepting new patients

Locations

500 Elm Grove Rd
Ste 100
Elm Grove, WI 53122
Phone (262) 782-2090

10150 W National Ave
Ste 370
West Allis, WI 53227
Phone (262) 782-2090

2363 S 102nd St
Ste 301
West Allis, WI 53227
Phone (262) 782-2090

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1770633752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELM GROVE RD",
            "address_2": "SUITE 100 TRILLIUM CARE GROUP",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-782-2090",
            "fax_number": "262-782-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ELM GROVE RD",
            "address_2": "SUITE 100 TRILLIUM CARE GROUP",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "53122",
            "telephone_number": "262-782-2090",
            "fax_number": "262-782-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELI",
        "first_name": "LUCIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW CADC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11091",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1900121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40957000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

Verify at the official NPI Registry.