Individual provider Active NPI

Lisa Greenlee Lasala, MSW ACSW

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1982687372
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LG077802 Issued in MI
Practice address
999 Haynes St Ste 300
Birmingham, MI 48009-6775
Phone
(248) 207-1863
NPI assigned
Nov 21, 2005
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 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 LG077802 MI Primary

Addresses

Primary practice location

999 Haynes St Ste 300
Birmingham, MI 48009-6775

Mailing address

999 Haynes St Ste 300
Birmingham, MI 48009-6775
Phone (248) 207-1863

Other names 1

  • Ms. Lisa M Greenlee Former name

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
I20130213000498 MI Practitioner - Clinical Social Worker 6800040130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

999 Haynes St
Suite 300
Birmingham, MI 48009-6775
Phone (248) 207-1863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG077802MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Lasala, PHD, PC Clinical CurrentSince Sep 1, 2018 Accepting new patients
American Arthritis & Rheumatology Associates -Mi PLLC Past Accepting new patients

Locations

999 Haynes St
Ste 300
Birmingham, MI 48009
Phone (248) 207-1863

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1982687372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST STE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096775",
            "telephone_number": "248-207-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST STE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096775",
            "telephone_number": "248-207-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASALA",
        "first_name": "LISA",
        "middle_name": "GREENLEE",
        "name_prefix": "Mrs.",
        "credential": "MSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "LG077802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GREENLEE",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.