Active NPI
Jacqueline Gauvin, MS LLP
- Social Worker
- Northville, MI
National Provider Identifier
1073680906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6301008459
- Practice address
- 9934 5 Mile Rd
Northville, MI 48168-9467 - Phone
- (734) 451-9798
- Fax
- (734) 458-4614
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6301008459 | MI | Primary |
Addresses
Primary practice location
9934 5 Mile Rd
Northville, MI 48168-9467
Mailing address
9934 5 Mile Rd
Northville, MI 48168-9467
Phone (734) 451-9798
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008459 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307145600000",
"number": "1073680906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9934 5 MILE RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689467",
"telephone_number": "734-451-9798",
"fax_number": "734-458-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9934 5 MILE RD",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689467",
"telephone_number": "734-451-9798",
"fax_number": "734-458-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUVIN",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "MS LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2011-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6301008459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.