Individual provider Active NPI

Gwenyth Marie Hayes, LMSW

  • Social Worker
  • Brighton, MI
National Provider Identifier
1326416728
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801115748 Issued in MI
Practice address
711 E Grand River Ave
Brighton, MI 48116-2474
Phone
(517) 896-3592
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 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 6801115748 MI
Social Worker 104100000X 6801115748 MI Primary

Addresses

Primary practice location

711 E Grand River Ave
Brighton, MI 48116-2474

Mailing address

201 S 1St St Apt 123
Ann Arbor, MI 48104-1761
Phone (734) 730-9188

Other practice location 1

120 E Liberty St Ste 300A
Ann Arbor, MI 48104-2163
Phone (734) 330-9136

Other identifiers 1

IdentifierTypeStateIssuer
382833497MedicaidMI

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
I20231207001896 MI Practitioner - Clinical Social Worker 1759730328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Motivation LLCGroup PAC ID 8729463906, 7 clinicians
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

122 S Main St
Suite 215
Ann Arbor, MI 48104-1940
Phone (734) 330-9136

1600 S Canton Ctr Rd
Canton, MI 48188-1992

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801115748MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Sessions, PLLC Social Worker CurrentSince Dec 31, 2024 Accepting new patients
Iha Health Service Corporation CurrentSince Feb 1, 2025 Accepting new patients
My Motivation LLC Clinical CurrentSince Nov 30, 2023 Accepting new patients
Iha Health Services Corporation CurrentSince Feb 1, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Blue Lotus Therapy Services LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

122 S Main St
Ste 215
Ann Arbor, MI 48104
Phone (734) 249-8164

120 E Liberty St
Ste 215
Ann Arbor, MI 48104
Phone (734) 330-9136

120 E Liberty St
Ste 300A
Ann Arbor, MI 48104
Phone (734) 330-9136

711 E Grand River Ave
Brighton, MI 48116
Phone (269) 274-6530

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1326416728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 1ST ST APT 123",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041761",
            "telephone_number": "734-730-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162474",
            "telephone_number": "517-896-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Liberty St Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042163",
            "country_code": "US",
            "telephone_number": "734-330-9136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "GWENYTH",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115748",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801115748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382833497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.