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MR. JACOB MICHAEL LISAK
NPI 1770417263
Social Worker - Clinical in Marshall, MI

Active since June 10, 2026
200 N MADISON ST, MARSHALL, MI 49068(269) 789-3862(269) 789-8126 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jacob Michael Lisak NPPES

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

MR. JACOB MICHAEL LISAK (NPI 1770417263) is an individual clinical provider in Marshall, Michigan, licensed in Michigan (6801108553) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1770417263
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACOB MICHAEL LISAK
Location Address200 N MADISON STMarshall, MI 49068-1199
Mailing Address319 S Capital AveAthens, MI 49011-9335 · (269) 789-3862
Phone(269) 789-3862
Fax(269) 789-8126
Sole ProprietorYes
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1770417263 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 · 6801108553✔ Licensed in IN · 34009044A
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.

200 N MADISON ST, Marshall, MI 49068
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARLO ARVILLA KIRBY MSN, NP
Nurse Practitioner
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
ELLA E M BROWN CHARITABLE CIRCLE
Radiology (Diagnostic Radiology)
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
MARY MARGARET JOHNSON MD
Internal Medicine
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
JOSHUA RICH CRNA
Nurse Anesthetist, Certified Registered
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 781-4271
OAKLAWN HOSPITAL
Pharmacy (Institutional Pharmacy)
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 789-3905
ELLA E. M. BROWN CHARITABLE CIRCLE
Psychiatric Unit
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 789-3921
MRS. ANGELA LYNN EILER RPH
Pharmacist
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (269) 214-0336
OBHG MICHIGAN - DIRECT PC
Obstetrics & Gynecology
200 N MADISON ST
MARSHALL, MI 49068
Calhoun County (864) 908-3530

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 Jacob Lisak's NPI number?

The NPI number for Jacob Lisak is 1770417263. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Jacob Lisak located?

Jacob Lisak practices at 200 N Madison St, Marshall, MI 49068. The listed phone number is (269) 789-3862.

What is Jacob Lisak's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Lisak was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.