Individual provider Active NPI

Laura Cardamone, LMSW

  • Clinical Social Worker
  • Mount Clemens, MI
National Provider Identifier
1487730248
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801057662 Issued in MI
Practice address
198 S Main St
Ste 2
Mount Clemens, MI 48043-7917
Phone
(586) 466-5960
Fax
(586) 466-5960
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 6801057662 MI Primary

Addresses

Primary practice location

198 S Main St
Ste 2
Mount Clemens, MI 48043-7917

Mailing address

17187 Canvasback Dr
Clinton Township, MI 48038-7411
Phone (586) 216-5837

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
I20220621001688 MI Practitioner - Clinical Social Worker 1153700265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venture CounselingGroup PAC ID 7911386024, 2 clinicians

Practice addresses (Care Compare)

36401 Harper Ave
Clinton Township, MI 48035-2957
Phone (586) 649-7589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Counseling Clinical CurrentSince May 1, 2022 Accepting new patients
Convergence Counseling and Consulting, LLC Clinical CurrentSince May 1, 2022 Accepting new patients

Locations

36401 Harper Ave
Clinton Twp, MI 48035
Phone (586) 649-7589

198 S Main St
Ste 2
Mount Clemens, MI 48043
Phone (586) 466-5960

10 S Main St
Ste 101
Mount Clemens, MI 48043

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1487730248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17187 CANVASBACK DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387411",
            "telephone_number": "586-216-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S MAIN ST",
            "address_2": "STE 2",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437917",
            "telephone_number": "586-466-5960",
            "fax_number": "586-466-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDAMONE",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.