Individual provider Active NPI

Anna Gerard, LLMSW

  • Clinical Social Worker
  • Shelby Township, MI
National Provider Identifier
1043948995
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851115299 Issued in MI
Practice address
52188 Van Dyke Ave Ste 300
Shelby Township, MI 48316-3575
Phone
(586) 242-5917
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851115299 MI Primary

Addresses

Primary practice location

52188 Van Dyke Ave Ste 300
Shelby Township, MI 48316-3575

Mailing address

52188 Van Dyke Ave Ste 300
Shelby Township, MI 48316-3575
Phone (586) 242-5917

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

LicenseStateTypeSpecialty
6851115299MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Counseling Services PLLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

52188 Van Dyke Ave
Ste 300
Shelby Township, MI 48316
Phone (586) 244-8211

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1043948995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163575",
            "telephone_number": "586-242-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52188 VAN DYKE AVE STE 300",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163575",
            "telephone_number": "586-242-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.