Healthcare Provider Details

I. General information

NPI: 1316136104
Provider Name (Legal Business Name): LAUREN GASPAROTTO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32789 W 10 MILE RD
FARMINGTON MI
48336-2306
US

IV. Provider business mailing address

32789 W 10 MILE RD
FARMINGTON MI
48336-2306
US

V. Phone/Fax

Practice location:
  • Phone: 248-426-5024
  • Fax:
Mailing address:
  • Phone: 248-207-9556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801085288
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: