Leeann A Gall, LLMSW
Individual provider Active NPI Social Worker · Shepherd, MI
NPI 1306598792 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1306598792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6851116367 (MI)
- Practice address
- 350 S Chippewa St
Shepherd, MI 48883-8662 - Phone
- (989) 828-6605
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116367 | MI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 6851116367 | MI | Yes |
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
- Leeann Whaley
Other providers in Shepherd, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.