Individual provider Active NPI

Laura Rose Fox, LMSW

  • Clinical Social Worker
  • Charlotte, MI
National Provider Identifier
1720538358
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095601 Issued in MI
Practice address
134 S Cochran Ave Ste B
Charlotte, MI 48813-1557
Phone
(517) 230-1959
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 6801095601 MI Primary

Addresses

Primary practice location

134 S Cochran Ave Ste B
Charlotte, MI 48813-1557

Mailing address

160 N Chester Rd
Charlotte, MI 48813-9547
Phone (517) 230-1959

Other practice location 1

800 W Lawrence Ave
Charlotte, MI 48813-1308
Phone (517) 230-1959

Other names 1

  • Ms. Laura Rose Swiderski Former name

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
I20180412001143 MI Practitioner - Clinical Social Worker 4385907963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox and Vine Therapy P.L.L.C CurrentSince Jul 22, 2025 Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

134 S Cochran Ave
Ste B
Charlotte, MI 48813
Phone (517) 541-1000

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1720538358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N CHESTER RD",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488139547",
            "telephone_number": "517-230-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S COCHRAN AVE STE B",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131557",
            "telephone_number": "517-230-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488131308",
            "country_code": "US",
            "telephone_number": "517-230-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SWIDERSKI",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.