Active NPI
Lindsey Mariah Gehlhausen, LLMSW
- Social Worker
- Redford, MI
National Provider Identifier
1326670191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801104562
- Practice address
- 9315 Telegraph Rd
Redford, MI 48239-1260 - Phone
- (313) 450-4500
- Fax
- (313) 450-0004
- NPI assigned
- Feb 10, 2020
- Last updated
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801104562 | MI | Primary |
Addresses
Primary practice location
9315 Telegraph Rd
Redford, MI 48239-1260
Mailing address
7310 Woodward Ave
Detroit, MI 48202-3165
Phone (313) 896-1444
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | secure.wcjais.com | Other | |
| Other URL | eCRIS | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801104562 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assured Family Services | Past | Accepting new patients | |
| Soul Works Therapy and Wellness | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1326670191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 WOODWARD AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023165",
"telephone_number": "313-896-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9315 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391260",
"telephone_number": "313-450-4500",
"fax_number": "313-450-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHLHAUSEN",
"first_name": "LINDSEY",
"middle_name": "MARIAH",
"name_prefix": "Ms.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801104562",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "secure.wcjais.com",
"affiliation": "N",
"endpointDescription": "Site where clients information is inputted",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Allows providers to give updates on youth.",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Youth's progress, social history, health information, and adjudicated offense",
"address_1": "7310 Woodward Ave",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482023165",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "eCRIS",
"affiliation": "N",
"endpointDescription": "Electronic Clinical Record Information System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9315 Telegraph Rd",
"city": "Redford",
"state": "MI",
"country_code": "US",
"postal_code": "482391260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.