Individual provider Active NPI

Katherine Louise Zicarelli Gesell, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1417603895
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113735 Issued in MI
Practice address
2929 Covington CT
Lansing, MI 48912-4941
Phone
(517) 798-6745
NPI assigned
Feb 24, 2022
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 LCSW-23632 AZ
Clinical Social Worker 1041C0700X 6801113735 MI Primary

Addresses

Primary practice location

2929 Covington CT
Lansing, MI 48912-4941

Mailing address

2107 Lac Du Mont Apt A1
Haslett, MI 48840-9525
Phone (517) 420-7280

Other practice location 1

140 W Buist Ave
Phoenix, AZ 85041-9003
Phone (517) 420-7280

Other names 1

  • Katherine Zicarelli Other 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
6801113735MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foreglow Therapy Clinical Current Accepting new patients
Transformative Therapy & Consultation Services Social Worker PastSince Oct 17, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1417603895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 LAC DU MONT APT A1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488409525",
            "telephone_number": "517-420-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 COVINGTON CT",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124941",
            "telephone_number": "517-798-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W Buist Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850419003",
            "country_code": "US",
            "telephone_number": "517-420-7280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GESELL",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE ZICARELLI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23632",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ZICARELLI",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.