Active NPI
Michelle A Gabbard
- Social Worker
- Cincinnati, OH
National Provider Identifier
1033906987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2513010
- Practice address
- 2211 Fulton Ave
Cincinnati, OH 45206-2504 - Phone
- (513) 961-4863
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2513010 | OH | Primary |
| Community Health Worker | 172V00000X | 002442 | OH | |
| Peer Specialist | 175T00000X | FPS000051 | OH | |
| Prevention Professional | 405300000X | 163788 | OH | |
| Peer Specialist | 175T00000X | 003147 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 185436 | OH |
Addresses
Primary practice location
2211 Fulton Ave
Cincinnati, OH 45206-2504
Mailing address
548 Rachel Dr
Hamilton, OH 45013-4183
Phone (513) 442-6430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185436 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S.2513010 | OH | MD | Social Worker |
| 002442 | OH | MD | Community Health Worker |
| 003147 | OH | MD | Peer Specialist |
| FPS000051 | OH | MD | Peer Specialist |
| 163788 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1033906987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 RACHEL DR",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450134183",
"telephone_number": "513-442-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 FULTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452062504",
"telephone_number": "513-961-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABBARD",
"first_name": "MICHELLE",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2513010",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "002442",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "FPS000051",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "163788",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "003147",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "185436",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.