Evelyn Carole Gauthier, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082743 Issued in MI

Practice address

35455 Garfield Rd
#C
Clinton Township, MI 48035-2236

Phone

(586) 792-5335

Fax

(586) 792-3061

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Evelyn Broyles, Blose, Bondy, Daschke Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1013083575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46484 JEFFERSON AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475365",
            "telephone_number": "586-770-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35455 GARFIELD RD",
            "address_2": "#C",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352236",
            "telephone_number": "586-792-5335",
            "fax_number": "586-792-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "EVELYN",
        "middle_name": "CAROLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "BROYLES, BLOSE, BONDY, DASCHKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacquelyn Marie Garrison
• Michelle M Garvey
• Julie Lorraine Garza, RN
• Elizabeta Gashaj, BEHAVIOR TECHNICIAN
• Lanette Gasparetto
• Noah Gaydos
• Alexandra Victoria Gaziyan
• Chelsea M Geddes, CHW
• Brooke Morgan Gedrick, D.O
• Cynthia Gee, D.O.

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.