Provider Demographics
NPI:1932207776
Name:SOMOGYI, LAURA ELIZABETH (MSW, LBSW)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:ELIZABETH
Last Name:SOMOGYI
Suffix:
Gender:F
Credentials:MSW, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41038
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:MI
Mailing Address - Zip Code:48041-1038
Mailing Address - Country:US
Mailing Address - Phone:810-300-6409
Mailing Address - Fax:
Practice Address - Street 1:579 N RIVERSIDE AVE
Practice Address - Street 2:APT. # 8
Practice Address - City:SAINT CLAIR
Practice Address - State:MI
Practice Address - Zip Code:48079-5476
Practice Address - Country:US
Practice Address - Phone:810-392-2167
Practice Address - Fax:810-392-2067
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5000441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical