LISA LOWTHER VEENSTRA (LMSW) – Clinical Social Worker, NPI 1477588697

LISA LOWTHER VEENSTRA (LMSW) is a healthcare provider. based in Dearborn, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801079955 (MI). The NPI Number for LISA LOWTHER VEENSTRA (LMSW) is 1477588697

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LISA LOWTHER VEENSTRA (LMSW)
NPI
1477588697
Phone
(313) 274-3700
Address
22720 MICHIGAN AVE STE 200
Enumeration Date
12 July 2006
Last Update Date
20 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172632191
Graduation Year
2000 (26 years ago)
PAC ID
2961759162
Group Practice PAC ID
5597781385
Professional Enrollment ID
I20180719000295
Address ID
MI492212762AD199XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for LISA LOWTHER VEENSTRA (LMSW)

  • Michigan Avenue, Dearborn, Wayne County, Michigan, 48126, United States

    DEARBORN, MI 481242021

    Phone: (313) 274-3700

    Fax: (313) 274-3767

    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: 2018-07-19

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
I20180719000295IClinical 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 48124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597781385View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
-MI
Mental Health CounselorOH
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

What NPI should I save for LISA LOWTHER VEENSTRA (LMSW)?
Save NPI 1477588697 if you need a stable reference for LISA LOWTHER VEENSTRA (LMSW).
Does this profile mean LISA LOWTHER VEENSTRA (LMSW) is currently active?
Yes — LISA LOWTHER VEENSTRA (LMSW) appears active in the national provider directory.
What field does LISA LOWTHER VEENSTRA (LMSW) work in?
You can think of LISA LOWTHER VEENSTRA (LMSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place LISA LOWTHER VEENSTRA (LMSW)?
The snapshot lists Dearborn, Michigan for LISA LOWTHER VEENSTRA (LMSW); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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