Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Pediatric Therapy

Organization Clinical Social Worker · NPI 1083365639

Lighthouse Pediatric Therapy is a Clinical Social Worker in Warren, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

11174 E 13 Mile Rd
Warren, MI 48093-2559
Phone: (313) 285-3978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1083365639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allyson Andrews — Ceo · (313) 285-3978
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address11174 E 13 Mile Rd, Warren, MI 48093-2559

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