=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063635159
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LORI ANN MICHELLE PARTEE LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2007
-----------------------------------------------------
Last Update Date | 07/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1951 OAK ST
-----------------------------------------------------
City | NILES
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49120-3738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-665-8800
-----------------------------------------------------
Fax | 269-262-0082
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 261 M 62
-----------------------------------------------------
City | CASSOPOLIS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49031-1034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-445-3874
-----------------------------------------------------
Fax | 269-445-1930
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 6801058947
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------