Jennifer Lichocki, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090315 Issued in MI

Practice address

42669 Garfield Rd
Clinton TWP, MI 48038-5036

Phone

(586) 412-5321

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1770744161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 FOUNTAIN SQ STE 106",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502552",
            "telephone_number": "248-634-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42669 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385036",
            "telephone_number": "586-412-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHOCKI",
        "first_name": "JENNIFER",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "750910402",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauna Leone
• Christopher R Lesh, DO
• Jeanne G Lewandowski, MD
• Kathryn Elizabeth Lewis
• Cory Ley, DO
• Lifelong Advocacy,Inc
• Suzy Lincolns, MSW
• Rebecca Strong Lindley, LLC
• Sheila Lipe, LLPC
• Gail Ann Lis, APRN BC

• Clinical Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.