MADISON MARIE LAUDER – Clinical Social Worker, NPI 1194383000

MADISON MARIE LAUDER is a healthcare provider. based in Southgate, Michigan. specializing in CLINICAL SOCIAL WORKER. The NPI Number for MADISON MARIE LAUDER is 1194383000

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MADISON MARIE LAUDER
NPI
1194383000
Phone
(734) 785-7700
Address
13101 ALLEN RD
Enumeration Date
5 June 2019
Last Update Date
11 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347857700
Graduation Year
2019 (7 years ago)
PAC ID
0941676258
Group Practice PAC ID
8022171735
Professional Enrollment ID
I20221011002434
Address ID
MI481952216SO13101RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MADISON MARIE LAUDER

  • 13101 ALLEN RD

    SOUTHGATE, MI 481952216

    Phone: (734) 785-7700

    Type: Location

  • 22160, Fairfax Street, Taylor, Wayne County, Michigan, 48180, United States

    TAYLOR, MI 481802772

    Phone: (313) 850-2469

    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: 2022-10-11

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
I20221011002434IClinical 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 48195)

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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: 8022171735View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Does MADISON MARIE LAUDER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MADISON MARIE LAUDER uses 1194383000.
Is MADISON MARIE LAUDER listed as active for patients and plans?
The listing shows MADISON MARIE LAUDER as active in the NPI system.
What is MADISON MARIE LAUDER's primary classification?
Clinical Social Worker is the headline specialty for MADISON MARIE LAUDER here. Clinical services aligned with this taxonomy classification.
Does MADISON MARIE LAUDER list a practice location?
Patients near Southgate, Michigan may find MADISON MARIE LAUDER in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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