Shauna Gulliver

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3301 Ward St
Trenton, MI 48183-3436

Phone

(173) 455-2925

NPI assigned

Nov 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD
• Home of New Vision

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ann Arbor, MI
  • NPI 1457565202
  Medicare reassignment NPD
• Summit Pointe

  • Psychiatry Physician
  • Battle Creek, MI
  • NPI 1700833555

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1295166379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WARD ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833436",
            "telephone_number": "173-455-2925",
            "fax_number": "734-975-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WARD ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833436",
            "telephone_number": "173-455-2925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Profressional Drive",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48104",
            "country_code": "US",
            "telephone_number": "734-975-1602 x225",
            "fax_number": "734-975-1604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLIVER",
        "first_name": "SHAUNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095851",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Rose Home Care, LLC
• Carissa Gralewski
• Evelyn Groscurth, TLLP
• Richard Grossman, RPH
• Molly Kristine Gruenwald
• Alexis Gundick
• Baldev K Gupta, M.D.
• Mohit Gupta, M.D.
• Narsingh Dass Gupta, MD
• Emily Haas, PA

• Social Worker in Trenton, MI
• Providers in Trenton, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.