Lauren Gardiner Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAUREN GARDINER THERAPY LLC

Practice address

19295 Eureka Rd
Southgate, MI 48195-2929

Phone

(734) 365-6683

NPI assigned

May 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lauren Gardiner, LMSWNPI 1235483264

Title

Owner

Phone

(734) 365-6683

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Marie Gardiner, LMSW

  • Clinical Social Worker
  • Southgate, MI
  • NPI 1235483264
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1053058180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 DEBORAH CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832202",
            "telephone_number": "734-365-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19295 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952929",
            "telephone_number": "734-365-6683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Deborah Ct",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481832202",
            "country_code": "US",
            "telephone_number": "734-365-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAUREN GARDINER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-365-6683",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Larzelere
• Laurel Lasser, LMSW
• Elena Lau
• Madison Marie Lauder
• Nichole Launders, RN
• Erika Marie Lawnicki
• Lawrence D Castleman MD PC
• Julie Lebar, LPC
• Randy Michael Lebar, MSW
• Amber Jean Lee-Trimiew, LLPC

• Clinical Social Worker in Southgate, MI
• Providers in Southgate, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.