Laurie Lee Eldred, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090571 Issued in MI

Practice address

1324 Lake Dr SE Ste 6
Grand Rapids, MI 49506-1673

Phone

(616) 828-8401

NPI assigned

Jul 21, 2008

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Just a Social Worker, PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1356118228
  NPD Authorized official

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1053576900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 CAMELOT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466002",
            "telephone_number": "616-828-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKE DR SE STE 6",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061673",
            "telephone_number": "616-828-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRED",
        "first_name": "LAURIE",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Elders, MD
• Zachary Elders, CTRS
• Elders' Helpers LLC (Elders' Helpers)
• James L Eldersveld, DDS
• Rachel Eldersveld, PA-C
• Amber Lynn Eledge
• Grace K Elenbaas, LLMSW
• John Elenbaas, MD
• Natale Rae Elenbaas, PT, DPT
• Rachel Victoria Elery

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.