Lisa Ann Wangrud, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801087887 Issued in MI

Practice address

1100 Ludington St Ste 303
Escanaba, MI 49829-3500

Phone

(906) 553-4555

NPI assigned

Sep 18, 2018

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Ann Boggs Former name

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

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Learning Dreams LLC

  • Multi-Specialty Clinic/Center
  • Burton, MI
  • NPI 1114357084
  Medicare reassignment NPD
• Mindful Transformation Counseling PLLC

  • Social Worker
  • Escanaba, MI
  • NPI 1588381255
  Medicare reassignment NPD
• RSH Wellness, LLC

  • Primary Care Clinic/Center
  • Flint, MI
  • NPI 1568110211
  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1881178663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 12TH AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498292123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LUDINGTON ST STE 303",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293500",
            "telephone_number": "906-553-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1091 Creekwood Trl",
            "address_purpose": "LOCATION",
            "city": "Burton",
            "state": "MI",
            "postal_code": "485091500",
            "country_code": "US",
            "telephone_number": "810-391-2923",
            "fax_number": "810-391-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANGRUD",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087887",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BOGGS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Ann Viau, OTR/L
• Karla A Vollberg, CADC-DP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2522)
• Wal-Mart Stores East, LP (Vision Center 30-2522)
• Walgreen Co (Walgreens #09364)
• Jennifer June Ware, RN
• Rhonda Joanne Waters, MA
• Danielle Dee Way, M.S. CCC-SLP
• Patricia Ann Webber, CNP, APRN-BC
• Wellness Way Escanaba LLC

• Social Worker in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.