Laurie J Church, MA LPC NCC is a
Social Worker - Clinical based in Clinton Township, Michigan. Laurie J Church is licensed to practice in Michigan (license number 6401010685) and her current practice location is
22800 Hall Rd Ste 240, Clinton Township, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 344-7154.
NPI number for Laurie J Church is 1508034661 and her current mailing address is Po Box 36548, Grosse Pointe Farms, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508034661.
Healthcare Provider's Profile
| Full Name | Laurie J Church |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 22800 Hall Rd Ste 240, Clinton Township, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508034661
- Provider Enumeration Date: 02/12/2008
- Last Update Date: 05/31/2018
Medical Identifiers
Medical identifiers for Laurie J Church such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508034661 | NPI | - | NPPES |
| 1215426747 | Other | | TYPE II NPI |
| 1508034661 | Medicaid | MI | |
| 15080346641 | Other | | TYPE I NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 6401010685 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6401010685 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laurie J Church is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Laurie J Church, MA LPC NCC
Po Box 36548,
Grosse Pointe Farms, MI 48236-0548
Ph: (586) 421-4116 | Laurie J Church, MA LPC NCC
22800 Hall Rd Ste 240,
Clinton Township, MI 48036
Ph: (313) 344-7154 |
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