Individual provider Active NPI

Lisa Farrell-Byrski, LMSW

  • Clinical Social Worker
  • Orion Township, MI
National Provider Identifier
1881151017
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801060090 Issued in MI
Practice address
189 Clarkston Road
Suite 208 MB 22
Orion Township, MI 48362-4836
Phone
(248) 284-3331
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801101980 MI
Clinical Social Worker 1041C0700X 6801060090 MI Primary

Addresses

Primary practice location

189 Clarkston Road
Suite 208 MB 22
Orion Township, MI 48362-4836

Mailing address

189 Clarkston Road
Suite 208 Mailbox 22
Orion Township, MI 48362-2425
Phone (248) 284-3331

Other practice location 1

826 S Lapeer Rd Ste B
Oxford, MI 48371-6511
Phone (248) 891-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200818002750 MI Practitioner - Clinical Social Worker 0446676696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801060090MIMDClinical Social Worker
6801101980MIMDClinical Social Worker

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": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1881151017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 CLARKSTON ROAD",
            "address_2": "SUITE 208 MAILBOX 22",
            "city": "ORION TOWNSHIP",
            "state": "MI",
            "postal_code": "483622425",
            "telephone_number": "248-284-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 CLARKSTON ROAD",
            "address_2": "SUITE 208 MB 22",
            "city": "ORION TOWNSHIP",
            "state": "MI",
            "postal_code": "483624836",
            "telephone_number": "248-284-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 S Lapeer Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MI",
            "postal_code": "483716511",
            "country_code": "US",
            "telephone_number": "248-891-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL-BYRSKI",
        "first_name": "LISA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101980",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orion Township, MI

Sources for this page

Verify at the official NPI Registry.