Individual provider Active NPI

Elise Dilaura

  • Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1437839693
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851117019 Issued in MI
Practice address
21611 E 11 Mile Rd Ste a
Saint Clair Shores, MI 48081-1636
Phone
(586) 944-2902
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851117019 MI Primary

Addresses

Primary practice location

21611 E 11 Mile Rd Ste a
Saint Clair Shores, MI 48081-1636

Mailing address

852 Crest St
Mount Clemens, MI 48043-6422
Phone (586) 419-3243

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
I20260318002911 MI Practitioner - Clinical Social Worker 8820515984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34841 Veterans PLZ
Wayne, MI 48184-1733

992 E Browning Ave
Hazel Park, MI 48030-1239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851117019MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
E. Dilaura Therapeutic Services PLLC Clinical Current Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Feb 8, 2026 Accepting new patients

Locations

39600 Garfield Rd
Ste F
Clinton Twp, MI 48038
Phone (586) 307-6566

650 E Big Beaver Rd
Ste C
Troy, MI 48083
Phone (248) 781-8921

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1437839693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 CREST ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480436422",
            "telephone_number": "586-419-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21611 E 11 MILE RD STE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811636",
            "telephone_number": "586-944-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILAURA",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851117019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.