Elm Grove Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELM GROVE COUNSELING, LLC

Practice address

27735 E Mockingbird Dr
Flat Rock, MI 48134-4704

Phone

(734) 752-9621

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Maegen L Laub, LMSWNPI 1164170593

Title

Member/Owner

Phone

(734) 752-7386

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maegen L Laub, LMSW

  • Clinical Social Worker
  • Flat Rock, MI
  • NPI 1164170593
  NPD Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1477201754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27735 E MOCKINGBIRD DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481344704",
            "telephone_number": "734-752-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27735 E MOCKINGBIRD DR",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481344704",
            "telephone_number": "734-752-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM GROVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "LAUB",
        "authorized_official_first_name": "MAEGEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "734-752-7386",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Flat Rock, MI
• Providers in Flat Rock, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.