Individual provider Active NPI

Lauma Brau, LMSW, ACHP-SW

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1740750918
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097706 Issued in MI
Practice address
220 W Colfax Ave Ste 400
South Bend, IN 46601-1635
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Nov 30, 2018
Last updated
Nov 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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 6801097706 MI Primary

Addresses

Primary practice location

220 W Colfax Ave Ste 400
South Bend, IN 46601-1635

Mailing address

7052 Baton Rouge
Kalamazoo, MI 49009-7957
Phone (269) 569-2312

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
I20181212001857 MI Practitioner - Clinical Social Worker 8921342312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Counseling and Psychotherapy, PLLCGroup PAC ID 1355772385, 5 clinicians

Practice addresses (Care Compare)

8145 Valleywood LN
Suite B
Portage, MI 49024-5296
Phone (269) 779-7577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097706MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling and Psychotherapy, PLLC Clinical CurrentSince Nov 25, 2024 Accepting new patients

Locations

721 W Centre Ave
Portage, MI 49024
Phone (269) 330-7030

8145 Valleywood Ln
Ste B
Portage, MI 49024
Phone (269) 234-2343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1740750918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 BATON ROUGE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097957",
            "telephone_number": "269-569-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLFAX AVE STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011635",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAU",
        "first_name": "LAUMA",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ACHP-SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.