Lillie Vergel, LSP, LMSW, MA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801015399 Issued in MI

Practice address

45353 Yorkshire Dr
Macomb, MI 48044-5797

Phone

(586) 263-1357

Fax

(248) 746-0308

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1962494286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380555",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480380067",
            "telephone_number": "586-263-1357",
            "fax_number": "248-746-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45353 YORKSHIRE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445797",
            "telephone_number": "586-263-1357",
            "fax_number": "248-746-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGEL",
        "first_name": "LILLIE",
        "credential": "LSP, LMSW, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801015399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Macomb, MI
• Providers in Macomb, 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 10, 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.