Individual provider Active NPI

Jemece Michelle Gasaway, MSW, LMSW

  • Social Worker
  • Dallas, TX
National Provider Identifier
1154353241
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
62542 Issued in TX
Practice address
14800 Quorum Dr Ste 255
Dallas, TX 75254-1415
Phone
(214) 702-1231
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1020 LA
Addiction (Substance Use Disorder) Counselor 101YA0400X 963 LA
Mental Health Counselor 101YM0800X 62542 TX
Social Worker 104100000X 62542 TX Primary

Addresses

Primary practice location

14800 Quorum Dr Ste 255
Dallas, TX 75254-1415

Mailing address

14800 Quorum Dr Ste 255
Dallas, TX 75254-1415
Phone (214) 702-1231

Other names 1

  • Mrs. Jemece Michelle Richard Former name

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
963LAMDAddiction (Substance Use Disorder) Counselor
62542TXMDProfessional Counselor
1020LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1154353241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 QUORUM DR STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541415",
            "telephone_number": "214-702-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 QUORUM DR STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541415",
            "telephone_number": "214-702-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASAWAY",
        "first_name": "JEMECE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "1020",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "963",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62542",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "62542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEMECE",
            "last_name": "RICHARD",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.