Organization Active NPI

Laura Sagolla Therapy Services PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1700514858
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAURA SAGOLLA THERAPY SERVICES PLLC
Practice address
1785 W Stadium Blvd Ste 104
Ann Arbor, MI 48103-5285
Phone
(734) 215-5142
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Laura Anne Sagolla, LMSWNPI 1184256950
Title
Owner
Phone
(734) 215-1542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1785 W Stadium Blvd Ste 104
Ann Arbor, MI 48103-5285

Mailing address

1785 W Stadium Blvd Ste 104
Ann Arbor, MI 48103-5285
Phone (734) 215-5142

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lsagolla@laurasagollatherapy.com Direct
Direct Messaging Address lsagolla@laurasagollatherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109000173 MI Part B Supplier - Clinic/Group Practice 6002283728 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

1785 W Stadium Blvd
Ste 104
Ann Arbor, MI 48103
Phone (734) 215-5142

326 W Liberty St
Ste 4
Ann Arbor, MI 48103
Phone (734) 210-0575

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1700514858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-215-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 104",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-215-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA SAGOLLA THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "SAGOLLA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-215-1542",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsagolla@laurasagollatherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1785 W Stadium Blvd Ste 104",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481035285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsagolla@laurasagollatherapy.com",
            "affiliation": "N",
            "address_1": "1785 W Stadium Blvd Ste 104",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481035285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.