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

Lisa M Rae, MSW

Individual provider Clinical Social Worker · NPI 1053980326

Lisa M Rae, MSW is a Clinical Social Worker in Fenton, Michigan. Qualified in 2019, 7 years ago. Practices with Kindmind Behavioral Health, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1100 Torrey Rd Ste 100
Fenton, MI 48430-3327
Phone: (810) 494-7180
Fax: (248) 692-4936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801104320 (MI)

Record details

NPI number1053980326
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address1100 Torrey Rd Ste 100, Fenton, MI 48430-3327

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kindmind Behavioral Health — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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