Individual provider Active NPI

Laura Malek Beydoun, LMSW

  • Clinical Social Worker
  • Taylor, MI
National Provider Identifier
1124483185
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091141 Issued in MI
Practice address
20300 Superior Rd
Taylor, MI 48180-6331
Phone
(734) 785-7700
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 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 6801091141 MI Primary

Addresses

Primary practice location

20300 Superior Rd
Taylor, MI 48180-6331

Mailing address

4826 Maddie LN
Dearborn, MI 48126-4173

Other practice location 1

4826 Maddie Ln
Dearborn, MI 48126-4173
Phone (313) 915-8138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330001145 MI Practitioner - Clinical Social Worker 8628072782 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091141MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Wayne Family Health Centers CurrentSince Jul 24, 2024 Accepting new patients
Western Wayne Family Health Centers CurrentSince Jul 24, 2024 Accepting new patients
The Guidance Center CurrentSince Dec 31, 2025 Accepting new patients
Vitae Health Medical Michigan PLLC CurrentSince May 1, 2021 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

4700 Schaefer Rd
Ste 340
Dearborn, MI 48126
Phone (313) 561-5100

4700 Schaefer Rd
Dearborn, MI 48126
Phone (313) 561-5100

26505 Powers Ave
#A
Dearborn Heights, MI 48125
Phone (313) 291-6200

26505 Powers Ave
Dearborn Hts, MI 48125
Phone (313) 291-6200

2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

26650 Eureka Rd
Ste C
Taylor, MI 48180
Phone (734) 941-4991

20300 Superior Rd
Ste 250
Taylor, MI 48180
Phone (313) 694-7888

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1124483185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 MADDIE LN",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 SUPERIOR RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806331",
            "telephone_number": "734-785-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4826 Maddie Ln",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481264173",
            "country_code": "US",
            "telephone_number": "313-915-8138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYDOUN",
        "first_name": "LAURA",
        "middle_name": "MALEK",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.