Active NPI
Lauren Emerick, LLMSW
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1841891884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801108194
- Practice address
- 22255 Greenfield Rd
Southfield, MI 48075-3710 - Phone
- (248) 849-3301
- NPI assigned
- Nov 5, 2020
- Last updated
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801108194 | MI | |
| Clinical Social Worker | 1041C0700X | 6801108194 | MI | Primary |
Addresses
Primary practice location
22255 Greenfield Rd
Southfield, MI 48075-3710
Mailing address
33830 24 Mile Rd
Chesterfield, MI 48047-3121
Other practice location 1
12200 E 13 Mile Rd
Warren, MI 48093-3093
Phone (586) 573-1810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801108194 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judson Center, Inc. | Past | Accepting new patients | |
| Judson Center, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1033264890
-
dba Judson Center Family Health Clinic
- Family Medicine Physician
- Warren, MI
- NPI 1396217600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1841891884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33830 24 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480473121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22255 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753710",
"telephone_number": "248-849-3301"
}
],
"practiceLocations": [
{
"address_1": "12200 E 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480933093",
"country_code": "US",
"telephone_number": "586-573-1810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMERICK",
"first_name": "LAUREN",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-12-23",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801108194",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801108194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.