Individual provider Active NPI

Lauren Todaro, LMSW

  • Clinical Social Worker
  • Allegan, MI
National Provider Identifier
1225523921
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111188 Issued in MI
Practice address
540 Jenner Dr
Allegan, MI 49010-1517
Phone
(269) 249-7288
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X P012630 NC
Clinical Social Worker 1041C0700X 6801111188 MI Primary

Addresses

Primary practice location

540 Jenner Dr
Allegan, MI 49010-1517

Mailing address

540 Jenner Dr
Allegan, MI 49010-1517
Phone (269) 249-7288

Other names 1

  • Lauren Phillips Former name

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: No
  • 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
6801111188MIMDClinical Social Worker
P012630NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegan County Community Mental Health Services CurrentSince Nov 28, 2024 Accepting new patients
Allegan County Community Mental Health Services CurrentSince Nov 28, 2024 Accepting new patients

Locations

3285 122nd Ave
Allegan, MI 49010
Phone (269) 673-6617

540 Jenner Dr
Allegan, MI 49010
Phone (269) 673-6617

Organizations & group practices 2

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1225523921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 JENNER DR",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101517",
            "telephone_number": "269-249-7288",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 JENNER DR",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101517",
            "telephone_number": "269-249-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODARO",
        "first_name": "LAUREN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PHILLIPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.