LAUREN VICTOR (MSW) – Social Worker, NPI 1194105965

LAUREN VICTOR (MSW) is a healthcare provider. based in Clarkston, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 6801088781 (MI). The NPI Number for LAUREN VICTOR (MSW) is 1194105965

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN VICTOR (MSW)
NPI
1194105965
Phone
(248) 922-9077
Address
5639 SASHABAW RD
Enumeration Date
5 June 2015
Last Update Date
5 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489229077
Graduation Year
2003 (23 years ago)
PAC ID
8325355886
Group Practice PAC ID
8820240047
Professional Enrollment ID
I20150915003389
Address ID
MI483463149CL5639XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for LAUREN VICTOR (MSW)

  • 5639 SASHABAW RD

    CLARKSTON, MI 483463149

    Phone: (248) 922-9077

    Type: Location

  • 31240 E RUTLAND ST

    BEVERLY HILLS, MI 480255422

    Phone: (248) 497-5237

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150915003389IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48346)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820240047View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

What is the standard ID for LAUREN VICTOR (MSW) in the U.S.?
In the U.S., LAUREN VICTOR (MSW) is identified by NPI 1194105965.
Is LAUREN VICTOR (MSW)'s NPI status active today?
Active status means LAUREN VICTOR (MSW)'s NPI record is not deactivated in the public file.
Which specialty label fits LAUREN VICTOR (MSW)?
NPPES ties LAUREN VICTOR (MSW) to Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit LAUREN VICTOR (MSW) in Clarkston, Michigan?
For routing, start with Clarkston, Michigan for LAUREN VICTOR (MSW), then verify phone and hours locally.
Why is information missing for LAUREN VICTOR (MSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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