Active NPI
Gil Darrin Carde, LMSW
- Clinical Social Worker
- Fort Stewart, GA
National Provider Identifier
1073721338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801021536
- Practice address
- 1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5611 - Phone
- (912) 435-6633
- Fax
- (616) 776-2934
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801021536 | MI | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5611
Mailing address
233 Fulton St E Ste 114
Grand Rapids, MI 49503-3261
Phone (251) 533-5526
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PVM190358 | Medicaid | MI | |
| 80-0-89-5748-0 | Other | MI | BLUE CROSS-BLUE SHIELD |
| 7000020881 | Other | MA | PRIORITY HEALTH |
| 352744000 | Other | MI | MAGELLAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801021536 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perennial Health Services PLC | Clinical | Current | Accepting new patients |
Locations
233 Fulton St E
Ste 114
Grand Rapids, MI 49503
Phone (616) 633-7203
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.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1013284314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1073721338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 FULTON ST E STE 114",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033261",
"telephone_number": "251-533-5526",
"fax_number": "706-301-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "STE 1D03",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145611",
"telephone_number": "912-435-6633",
"fax_number": "616-776-2934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDE",
"first_name": "GIL",
"middle_name": "DARRIN",
"name_prefix": "Prof.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801021536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PVM190358",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE SHIELD",
"identifier": "80-0-89-5748-0",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "7000020881",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "352744000",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.