Individual provider Active NPI

Patrick Laus, LMSW

  • Clinical Social Worker
  • Pontiac, MI
National Provider Identifier
1346649324
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098336 Issued in MI
Practice address
35 S Johnson St Ste 3C
Pontiac, MI 48341-1662
Phone
(248) 410-5691
NPI assigned
Aug 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 6801098336 MI Primary

Addresses

Primary practice location

35 S Johnson St Ste 3C
Pontiac, MI 48341-1662

Mailing address

27150 Kelly Rd
Roseville, MI 48066-2963
Phone (586) 863-6023

Other practice location 1

30521 Schoenherr Rd
Warren, MI 48088-3161
Phone (248) 219-4182

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
I20180613002595 MI Practitioner - Clinical Social Worker 0446505564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mustard Seed Family Counseling LLCGroup PAC ID 3870913361, 4 clinicians

Practice addresses (Care Compare)

33200 Dequindre Rd
Suite 100
Sterling Heights, MI 48310-5967
Phone (583) 354-1489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098336MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care and Transformation Center CurrentSince Dec 1, 2019 Accepting new patients
Mustard Seed Family Counseling LLC CurrentSince Sep 19, 2020 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2020 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2020 Accepting new patients
Boysville of Michigan, Inc. Past Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

33200 Dequindre Rd
Ste 100
Sterling Heights, MI 48310
Phone (583) 354-1489

2311 15 Mile Rd
Ste A
Sterling Hts, MI 48310
Phone (586) 795-1390

Organizations & group practices 5

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1346649324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27150 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662963",
            "telephone_number": "586-863-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST STE 3C",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411662",
            "telephone_number": "248-410-5691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30521 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480883161",
            "country_code": "US",
            "telephone_number": "248-219-4182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUS",
        "first_name": "PATRICK",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.