Individual provider Active NPI

Leeann A Gall, LLMSW

  • Social Worker
  • Shepherd, MI
National Provider Identifier
1306598792
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851116367 Issued in MI
Practice address
350 S Chippewa St
Shepherd, MI 48883-8662
Phone
(989) 828-6605
NPI assigned
Jan 26, 2022
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Social Worker 104100000X 6851116367 MI Primary

Addresses

Primary practice location

350 S Chippewa St
Shepherd, MI 48883-8662

Mailing address

350 S Chippewa Rd
Attn: Leeann Gall
Shepherd, MI 48883
Phone (989) 828-6605

Other practice location 1

8623 N Wayne Rd Ste 123
Westland, MI 48185-1137
Phone (734) 367-0469

Other names 1

  • Leeann Whaley 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
6851116367MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1306598792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S CHIPPEWA RD",
            "address_2": "ATTN: LEEANN GALL",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "48883",
            "telephone_number": "989-828-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S CHIPPEWA ST",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488838662",
            "telephone_number": "989-828-6605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8623 N Wayne Rd Ste 123",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481851137",
            "country_code": "US",
            "telephone_number": "734-367-0469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALL",
        "first_name": "LEEANN",
        "middle_name": "A",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851116367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEEANN",
            "last_name": "WHALEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shepherd, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.