IndividualActive
Lija Ditmar, MSW
NPI 1558412403 · Clinical Social Worker · Traverse City, MI
Provider details
- NPI number
- 1558412403
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6801033390 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12719 S West Bay Shore Dr Ste 7
Traverse City, MI 49684-5489
Phone: (231) 946-1610
Fax: (231) 922-5046
Street-level locationGet directions
Mailing address
12719 S West Bay Shore Dr Ste 7
Traverse City, MI 49684-5489
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.