PEGGY S. LISS (LMSW) – Clinical Social Worker, NPI 1285690685

PEGGY S. LISS (LMSW) is a healthcare provider. based in Kalamazoo, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 4101005896 (MI). The NPI Number for PEGGY S. LISS (LMSW) is 1285690685

Main info

Female
51 Years Of Experience
Accepts Medicare Assignment
Name
PEGGY S. LISS (LMSW)
NPI
1285690685
Phone
(269) 598-3886
Address
2311 GLENWOOD DR
Enumeration Date
25 April 2006
Last Update Date
8 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2695983886
Graduation Year
1975 (51 years ago)
PAC ID
1355521071
Professional Enrollment ID
I20110211000387
Address ID
MI490081978KA2311XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for PEGGY S. LISS (LMSW)

  • 2311, Glenwood Drive, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490081978

    Phone: (269) 598-3886

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110211000387IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49008)

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Reviews

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Frequently asked questions

How do payers reference PEGGY S. LISS (LMSW)?
For PEGGY S. LISS (LMSW), use NPI 1285690685 as the unique 10-digit identifier.
Is PEGGY S. LISS (LMSW) still an active registrant?
PEGGY S. LISS (LMSW) carries an active NPI according to the public dataset.
How would a patient describe PEGGY S. LISS (LMSW)'s focus?
For PEGGY S. LISS (LMSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with PEGGY S. LISS (LMSW)?
Directory geography for PEGGY S. LISS (LMSW) centers on Kalamazoo, Michigan.
When was this NPI issued?
Enumeration for PEGGY S. LISS (LMSW) is noted as April 25, 2006 where the registry provides it.

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