| Lisa Inoue Lmsw Pllc | |
|
2311 Shelby Ave Ann Arbor MI 48103-3849 | |
| (734) 707-1013 | |
| (734) 345-1012 |
| Full Name | Lisa Inoue Lmsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2311 Shelby Ave, Ann Arbor, Michigan |
| Authorized Official Name and Position | Lisa Inoue (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 7349045977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Inoue Lmsw Pllc 3443 Burbank Dr Ann Arbor MI 48105-1518 Ph: (734) 707-1013 | Lisa Inoue Lmsw Pllc 2311 Shelby Ave Ann Arbor MI 48103-3849 Ph: (734) 707-1013 |
| NPI Number | 1205284049 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 7315237963 |
|---|---|
| Medicare Enrollment ID | O20160609001916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205284049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801081902 (Michigan) | Primary |
| Provider Name | Lisa Inoue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003922501 PECOS PAC ID: 3779580253 Enrollment ID: I20061025000495 |
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