Michael Dan Gaines, MSW, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1656 Issued in LA

Practice address

2944 Ray Weiland Dr
Baker, LA 70714-3250

Phone

(225) 636-2638

Fax

(225) 778-5068

NPI assigned

Aug 5, 2006

Last updated

Aug 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Gaines and Faith LLC

  • Community/Behavioral Health Agency
  • Baker, LA
  • NPI 1679938617
  Authorized official Same address or phone
• Michael Gaines and Faith, LLC

  • Community/Behavioral Health Agency
  • Baker, LA
  • NPI 1043557275
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1255340832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707040157",
            "telephone_number": "225-636-2638",
            "fax_number": "225-778-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 RAY WEILAND DR",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143250",
            "telephone_number": "225-636-2638",
            "fax_number": "225-778-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "MICHAEL",
        "middle_name": "DAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1656",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1438341",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Franklin, RN
• Tonja Franklin, MASTER OF SCIENCE
• Freds Stores of Tennessee Inc (Freds Pharmacy #2659)
• Fresenius Medical Care Capital City, LLC (Fresenius Medical Care Baker)
• Caleb Furr
• Micon Gaines
• Generations Individual and Family Treatment Services, LLC
• Theron Gerald
• Larry Ralph Germany, D.D.S.
• Get Well Medical Transportation

• Clinical Social Worker in Baker, LA
• Providers in Baker, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.