Individual provider Active NPI

Laura Kay Gualdoni

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1649822776
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062948 Issued in MI
Practice address
8240 Embury Rd Ste 1
Grand Blanc, MI 48439-7113
Phone
(810) 691-4196
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801062948 MI Primary
Social Worker 104100000X 6801062948 MI

Addresses

Primary practice location

8240 Embury Rd Ste 1
Grand Blanc, MI 48439-7113

Mailing address

12288 N Jennings Rd
Clio, MI 48420-8218
Phone (810) 691-4196

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
I20230821001568 MI Practitioner - Clinical Social Worker 3274995451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8240 Embury Rd
Suite 1
Grand Blanc, MI 48439-7113
Phone (810) 691-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gualdoni Therapeutic & Consultative Services LLC Social Worker CurrentSince Aug 15, 2023 Accepting new patients

Locations

8240 Embury Rd
Ste 1
Grand Blanc, MI 48439
Phone (810) 691-4196

Organizations & group practices 1

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1649822776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12288 N JENNINGS RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208218",
            "telephone_number": "810-691-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 EMBURY RD STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397113",
            "telephone_number": "810-691-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALDONI",
        "first_name": "LAURA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062948",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801062948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.