Individual provider Active NPI

Lauren Alexandria Colip, LMSW

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1922656826
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801112443 Issued in MI
Practice address
2017 4TH St
Jackson, MI 49203-4572
Phone
(517) 234-4024
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801112443 MI Primary

Addresses

Primary practice location

2017 4TH St
Jackson, MI 49203-4572

Mailing address

2017 4TH St
Jackson, MI 49203-4572
Phone (517) 234-4024

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

State licenses

LicenseStateTypeSpecialty
6801112443MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Out of the Woods Mental Health LLC Clinical Current Accepting new patients

Locations

2017 4th St
Jackson, MI 49203
Phone (517) 234-4024

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1922656826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034572",
            "telephone_number": "517-234-4024",
            "fax_number": "517-784-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 4TH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034572",
            "telephone_number": "517-234-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIP",
        "first_name": "LAUREN",
        "middle_name": "ALEXANDRIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.