Lisa Lasala, PHD, PC
NPI 1306320064ActiveOrganization· Social Worker, Clinical· Birmingham, MI
Social Worker, Clinical in Birmingham, Michigan, registered in NPPES in September 2018. The authorized official on file is Lisa Lasala, PHD, LMSW, Clinical Social Worker. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306320064 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2018 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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