Individual provider Active NPI

Logan Gauss, LLMSW

  • Social Worker
  • Hillsdale, MI
National Provider Identifier
1144035148
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851119385 Issued in MI
Practice address
25 Goodrich Ave
Hillsdale, MI 49242-1908
Phone
(517) 851-2670
Fax
(517) 938-5948
NPI assigned
Feb 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851119385 MI Primary

Addresses

Primary practice location

25 Goodrich Ave
Hillsdale, MI 49242-1908

Mailing address

25 Goodrich Ave
Hillsdale, MI 49242-1908
Phone (517) 851-2670

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
6851119385MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1144035148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GOODRICH AVE",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421908",
            "telephone_number": "517-851-2670",
            "fax_number": "517-938-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GOODRICH AVE",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421908",
            "telephone_number": "517-851-2670",
            "fax_number": "517-938-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSS",
        "first_name": "LOGAN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851119385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.