| Lisa A Shamie Pllc | |
|
14555 Levan Rd. Suite W313b Livonia MI 48154 | |
| (248) 605-5578 | |
| (734) 591-3182 |
| Full Name | Lisa A Shamie Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 14555 Levan Rd., Livonia, Michigan |
| Authorized Official Name and Position | Lisa Ann Shamie (MEMBER) |
| Authorized Official Contact | 2486055578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Shamie Pllc 14555 Levan Rd. Suite W313b Livonia MI 48154 Ph: (248) 605-5578 | Lisa A Shamie Pllc 14555 Levan Rd. Suite W313b Livonia MI 48154 Ph: (248) 605-5578 |
| NPI Number | 1306079884 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 02/16/2010 |
| Medicare PECOS PAC ID | 8022149285 |
|---|---|
| Medicare Enrollment ID | O20100701000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306079884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 204538 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801067946 (Michigan) | Primary |
| Provider Name | Lisa A Shamie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144230426 PECOS PAC ID: 9739210998 Enrollment ID: I20100702000088 |
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