IndividualActive
Shannan Lustig
NPI 1053904615 · Clinical Social Worker · Livonia, MI
Shannan Lustig is a Clinical Social Worker provider in Livonia, MI (NPI 1053904615).
Provider details
- NPI number
- 1053904615
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6801116716 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Phone: (734) 462-3210
Street-level locationGet directions
Mailing address
17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Registry dates
- Enumerated
- 2021-02-15
- Last updated
- 2023-08-01
- Certified
- 2021-05-26
Frequently asked questions
- What is Shannan Lustig's NPI number?
- Shannan Lustig's National Provider Identifier (NPI) is 1053904615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannan Lustig's specialty?
- Shannan Lustig is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannan Lustig located?
- Shannan Lustig's practice location on file with NPPES is 17177 N Laurel Park Dr Ste 131, Livonia, MI 48152-3952.
- What is Shannan Lustig's phone number?
- The practice phone number listed in the NPPES registry for Shannan Lustig is (734) 462-3210.
- Is Shannan Lustig's NPI active?
- Yes — Shannan Lustig's NPI (1053904615) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.