Provider Demographics
NPI:1942587191
Name:LAANSOO, CLAIRE MERCIER (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:MERCIER
Last Name:LAANSOO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:MARIE
Other - Last Name:MERCIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1120 WINTHROP RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0676
Mailing Address - Country:US
Mailing Address - Phone:248-320-4248
Mailing Address - Fax:
Practice Address - Street 1:43900 GARFIELD RD STE 222
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1137
Practice Address - Country:US
Practice Address - Phone:586-263-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010789681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical