Michelle Marie Gerardot, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009087 Issued in NC

Practice address

120 W Pennsylvania Ave Ste 54
Southern Pines, NC 28387-5429

Phone

(910) 964-0377

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1023598646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WEEBURN PL",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749051",
            "telephone_number": "910-964-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W PENNSYLVANIA AVE STE 54",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875429",
            "telephone_number": "910-964-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDOT",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Mae Gaudlip, MD
• Erin E Gaudreault, MSW, LCSW
• Hugh Perry Gayman Jr., PT
• Laurel Dell Gentry, PHARMD
• Brady B George, DMD
• Kimberly Giliberti
• Rachel Gilliam, PT
• Shannon Gillooly
• Traci Globke
• Victoria Alaine Godfrey, RBT

• Clinical Social Worker in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.