Laura Leigh Broughton, LMSW
Individual provider Active NPI Clinical Social Worker · Mason, MI
NPI 1053071589 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1053071589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801115092 (MI)
- Practice address
- 800 E Columbia St
Mason, MI 48854-1381 - Phone
- (517) 244-8932
- NPI assigned
- Dec 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edward W Sparrow Hospital Association
Practice addresses (Care Compare)
2040 Aurelius Rd
Holt, MI 48842-1367
Phone (517) 694-2217
800 E Columbia St
Mason, MI 48854-1381
Hospital & facility affiliations
- Edward W Sparrow Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221108000421 | MI | Practitioner - Clinical Social Worker | 0648647404 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801115092 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Clinical | Current |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
2040 Aurelius Rd
Ste 22
Holt, MI 48842
Phone (517) 244-8932
2040 Aurelius Rd
Holt, MI 48842
Phone (517) 694-2217
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801115092 | MI | Yes |
Addresses
Primary practice location
800 E Columbia St
Mason, MI 48854-1381
Mailing address
2040 Aurelius Rd Ste 22
Holt, MI 48842-1367
Phone (517) 244-8932
Other practice location 1
2310 Mount Hope Rd
Okemos, MI 48864-2501
Phone (517) 231-2741
Other practice location 2
2040 Aurelius Rd Ste 22
Holt, MI 48842-1367
Phone (517) 244-8932
Other providers in Mason, MI
- Courtney Bowman
- Kara Marie Bowman
- Kristine Brady
- Branch Counseling LLC
- Vanity Bronson
- Makayla Brower
- Emilie Jo Brzak
- Colette Katherine Brzezinski
- Evan Buckner
- Alphonso Burch
All providers in Mason, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.