STEPHANIE DENISE LAKE LMSW
NPI 1871008367
Social Worker in Dearborn, MI

Active since December 06, 2017PECOS EnrolledAccepts Medicare Assignment
3501 HARDING ST, DEARBORN, MI 48124(313) 608-5544 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2022, Aug 5, 2022, Dec 6, 2017 (3 updates tracked since 2017).

About Stephanie Denise Lake Lmsw NPPES

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

STEPHANIE DENISE LAKE LMSW (NPI 1871008367) is an individual social worker in Dearborn, Michigan, licensed in Michigan (6801109246) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871008367
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTEPHANIE DENISE LAKECredential: LMSW
Location Address3501 HARDING STDearborn, MI 48124-3731
Mailing Address23131 Michigan Ave # 1168Dearborn, MI 48124-2020 · (313) 608-5544
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 6, 2017
Last NPPES UpdateDecember 14, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
✔ NPI 1871008367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801109246
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
3501 HARDING ST, Dearborn, MI 48124

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Denise Lake Lmsw 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 ID5294112504
PECOS Enrollment IDI20220506000375
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 Reassignments

2

Medicare enrollment records show Stephanie Lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Social Worker
1 PARKLANE BLVD STE 1200E
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 347 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.

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 Stephanie Lake's NPI number?

The NPI number for Stephanie Lake is 1871008367. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Stephanie Lake located?

Stephanie Lake practices at 3501 Harding St, Dearborn, MI 48124. The listed phone number is (313) 608-5544.

What is Stephanie Lake's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Stephanie Lake enrolled in Medicare?

Yes. Stephanie Lake 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.

Which organizations bill Medicare for Stephanie Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Lake reassigns Medicare benefits to 2 organizations: Grow Your Mind Therapy (Dearborn, MI) and Richard Kneip, Ph.D., P.C. (Clarkston, MI). Each 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 Stephanie Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Lake accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Stephanie Lake 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 Stephanie Lake was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.