Individual provider Active NPI

Kayla Marie Gaddis, LMSW

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1346172376
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109807 Issued in MI
Practice address
1149 Hilton Rd Ste 200
Ferndale, MI 48220-2986
Phone
(313) 228-6404
NPI assigned
Jun 2, 2026
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801109807 MI Primary

Addresses

Primary practice location

1149 Hilton Rd Ste 200
Ferndale, MI 48220-2986

Mailing address

4515 S Shore St
Waterford, MI 48328-1163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1149 Hilton Rd
Suite 200
Ferndale, MI 48220-2838

4515 S Shore St
Waterford, MI 48328-1163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109807MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conscious Garden Counseling LLC Clinical CurrentSince Jun 17, 2026 Accepting new patients

Locations

1149 Hilton Rd
Ste 200
Ferndale, MI 48220
Phone (313) 228-6404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1346172376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 S SHORE ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 HILTON RD STE 200",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202986",
            "telephone_number": "313-228-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.