LISA WATERS LMSW-C
NPI 1639324130
Social Worker - Clinical in Detroit, MI

Active since November 25, 2008PECOS Enrolled
20523 NORTHLAWN ST, DETROIT, MI 48221(734) 233-4651 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa Waters Lmsw-c NPPES

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

LISA WATERS LMSW-C (NPI 1639324130) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801119699) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639324130
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA WATERSCredential: LMSW-C
Location Address20523 NORTHLAWN STDetroit, MI 48221-1191
Mailing Address20523 Northlawn StDetroit, MI 48221-1191 · (734) 233-4651
Sole ProprietorYes
Enumeration DateNovember 25, 2008
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1639324130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801119699
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.
20523 NORTHLAWN ST, Detroit, MI 48221

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Waters Lmsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Michigan enrollment
  • 411 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48221 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 Waters's NPI number?

The NPI number for Lisa Waters is 1639324130. It was assigned to this individual provider in the NPPES registry on November 25, 2008.

Where is Lisa Waters located?

Lisa Waters practices at 20523 Northlawn St, Detroit, MI 48221. The listed phone number is (734) 233-4651.

What is Lisa Waters's specialty?

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

Is Lisa Waters enrolled in Medicare?

Yes. Lisa Waters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Waters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Waters reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Waters accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lisa Waters 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 Waters was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.