Active NPI
Laural Lee Pond, MT-BC, DP
- Clinical Social Worker
- Negaunee, MI
National Provider Identifier
1114445129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851110741
- Practice address
- 104 Malton Rd
Negaunee, MI 49866-2000 - Phone
- (906) 228-4692
- Fax
- (906) 228-2830
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | OR | ||
| Clinical Social Worker | 1041C0700X | 6851110741 | MI | Primary |
Addresses
Primary practice location
104 Malton Rd
Negaunee, MI 49866-2000
Mailing address
1209 N 3Rd St
Marquette, MI 49855-3009
Phone (906) 273-0964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851110741 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suunta Integrative Health | Clinical | Current | Accepting new patients |
| Great Lakes Recovery Centers | Past | Accepting new patients | |
| Great Lakes Recovery Centers | Past | Accepting new patients |
Locations
1209 N 3rd St
Marquette, MI 49855
Phone (906) 273-0964
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Substance Abuse Rehabilitation Facility
- Negaunee, MI
- NPI 1669899241
-
- Substance Abuse Rehabilitation Facility
- Ironwood, MI
- NPI 1821267956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1114445129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 N 3RD ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553009",
"telephone_number": "906-273-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MALTON RD",
"city": "NEGAUNEE",
"state": "MI",
"postal_code": "498662000",
"telephone_number": "906-228-4692",
"fax_number": "906-228-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POND",
"first_name": "LAURAL",
"middle_name": "LEE",
"credential": "MT-BC, DP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851110741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Negaunee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.