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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA MICHELLE RAE MSW
NPI 1053980326
Social Worker - Clinical in Springport, MI

Active since June 22, 2021PECOS Enrolled
300 W MAIN ST, SPRINGPORT, MI 49284(517) 857-3495 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, Jun 22, 2021 (2 updates tracked since 2021).

About Lisa Michelle Rae Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MICHELLE RAE MSW (NPI 1053980326) is an individual clinical provider in Springport, Michigan, licensed in Michigan (6801110578) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fenton, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053980326
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA MICHELLE RAECredential: MSW
Location Address300 W MAIN STSpringport, MI 49284-9517
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Phone(517) 857-3495
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 22, 2021
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1053980326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801110578✔ Licensed in MI · 6801104320
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
300 W MAIN ST, Springport, MI 49284
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Secondary Practice Location 1

Location 11100 Torrey Rd Ste 100Fenton, MI 48430-3327 · Phone (810) 494-7180 ext. 106 · Fax (248) 692-4936

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Michelle Rae Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850795469
PECOS Enrollment IDI20210804001625
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Rae's NPI number?

The NPI number for Lisa Rae is 1053980326. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Lisa Rae located?

Lisa Rae practices at 300 W Main St, Springport, MI 49284. The listed phone number is (517) 857-3495.

What is Lisa Rae's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lisa Rae enrolled in Medicare?

Yes. Lisa Rae is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Rae accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Lisa Rae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Rae was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.