Individual provider Active NPI

Laurene Sanders, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1063954089
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801076920 Issued in MI
Practice address
500 Kirts Blvd Ste 200
Troy, MI 48084-4140
Phone
(248) 824-6060
Fax
(248) 686-0772
NPI assigned
Nov 8, 2016
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801076920 MI Primary

Addresses

Primary practice location

500 Kirts Blvd Ste 200
Troy, MI 48084-4140

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (248) 824-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801076920MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Healing Center Counseling & Consultation Services, LLC CurrentSince Feb 15, 2025 Accepting new patients
Vpa PC Clinical CurrentSince Feb 24, 2022 Accepting new patients
Iah of Michigan, PLLC CurrentSince Feb 24, 2022 Accepting new patients
Vpa PC Current Accepting new patients

Locations

4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

21540 W 11 Mile Rd
Ste 200
Southfield, MI 48076
Phone (248) 352-2000

26677 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 234-4816

500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1063954089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "248-824-6500",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844140",
            "telephone_number": "248-824-6060",
            "fax_number": "248-686-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LAURENE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801076920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.