Constance C Gwynn, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087813 Issued in MI

Practice address

17500 Northland Park CT
Southfield, MI 48075-4324

Phone

(248) 757-2098

Fax

(248) 757-2098

NPI assigned

May 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visions Interpersonal Services, LLC

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1063998474

  MI

  Medicare reassignment Authorized official
• Cognitive Care Center PC

  • Psychologist
  • Novi, MI
  • NPI 1649664467

  MI

  Medicare reassignment NPD
• Visions Interpersonal Services

  • Home Health Agency
  • West Bloomfield, MI
  • NPI 1427452705
  NPD (past) Authorized official

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1144488024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 CAMBOURNE PL",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224101",
            "telephone_number": "313-258-2086",
            "fax_number": "248-757-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 NORTHLAND PARK CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754324",
            "telephone_number": "248-757-2098",
            "fax_number": "248-757-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWYNN",
        "first_name": "CONSTANCE",
        "middle_name": "C",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L. Guy, PH.D., M.D.
• Ebonite Guyton
• Belen Christina Guzman, M.D.
• GWB Transportation, LLC
• Gwendolyn Washington M.D. Professional Corporation
• Sarah Gyomory, PTA
• H & K Holding Group LLC
• H&G Home Care Agency
• Aisha Habeeb, LLMSW
• David W Haber, D.O.

• All providers in Southfield, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.