Individual provider Active NPI

Laura Joanne Gross, LMSW

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1659768984
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097606 Issued in MI
Practice address
628 E Parent Ave Ste 505
Royal Oak, MI 48067-3769
Phone
(313) 451-0305
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 6801097606 MI Primary

Addresses

Primary practice location

628 E Parent Ave Ste 505
Royal Oak, MI 48067-3769

Mailing address

1491 Spencer St
Ferndale, MI 48220-3505
Phone (313) 451-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097606MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Warner Marsh Psy D PLLC CurrentSince Oct 20, 2024 Accepting new patients
Chrysalis Therapy PLLC Clinical CurrentSince Apr 6, 2025 Accepting new patients

Locations

26711 Woodward Ave
Ste 306
Huntington Woods, MI 48070
Phone (248) 860-2024

628 E Parent Ave
Ste 505
Royal Oak, MI 48067
Phone (313) 451-0305

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1659768984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 SPENCER ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203505",
            "telephone_number": "313-451-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E PARENT AVE STE 505",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673769",
            "telephone_number": "313-451-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "LAURA",
        "middle_name": "JOANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.