Individual provider Active NPI

Holly Elizabeth Gist-Richer, LMSW

  • Clinical Social Worker
  • Grass Lake, MI
National Provider Identifier
1275906091
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
137 Maple St
Grass Lake, MI 49240-9718
Phone
(734) 719-0854
NPI assigned
Nov 2, 2015
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

137 Maple St
Grass Lake, MI 49240-9718

Mailing address

137 Maple St
Grass Lake, MI 49240-9718
Phone (734) 719-0854

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171221002423 MI Practitioner - Clinical Social Worker 6507168887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

137 Maple St
Grass Lake, MI 49240-9718
Phone (734) 719-0854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Community Hospital CurrentSince Oct 9, 2019 Accepting new patients
Iha Health Services Corporation CurrentSince Jan 1, 2024 Accepting new patients
Holly Gist-Richer LMSW PLLC Clinical CurrentSince May 1, 2024 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Service Corporation CurrentSince Jan 1, 2024 Accepting new patients
Chelsea Community Hospital Clinical CurrentSince Oct 9, 2019 Accepting new patients
St Joseph Mercy Chelsea Inc PastSince Mar 1, 2023 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

350 N Main St
Ste 150
Chelsea, MI 48118
Phone (734) 593-5251

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1275906091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAPLE ST",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409718",
            "telephone_number": "734-719-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAPLE ST",
            "city": "GRASS LAKE",
            "state": "MI",
            "postal_code": "492409718",
            "telephone_number": "734-719-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST-RICHER",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Lake, MI

Sources for this page

Verify at the official NPI Registry.