Michele J Gustafson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801018984 Issued in MI

Practice address

5445 Ali Dr Dept 320
Grand Blanc, MI 48439-5193

Phone

(810) 428-1181

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cognosis Health HillsideGroup PAC ID 5890158901, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cognosis Health Hillside

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1326726605
  Medicare reassignment Care Compare group NPD
• Cognosis Health

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1578249496
  NPD (past)
• Genesys Ambulatory Health Services, Inc.

  dba Genesys Urgent Care Center, Inc.

  • Urgent Care Clinic/Center
  • Burton, MI
  • NPI 1740596444
  NPD (past)
• Genesys Practice Partners, Inc.

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1962423186
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1437261948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 ALI DR DEPT 320",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395193",
            "telephone_number": "810-428-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 ALI DR DEPT 320",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395193",
            "telephone_number": "810-428-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "MICHELE",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801018984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Leigh Guerra, APRON
• Emily Guida, LMT
• Christopher Q Guiett, LLMSW
• Akanksha Gupta, MD
• Aruna Gurumurthy, PT
• Carl G Gutekunst, D.O.
• Jaime Gutierrez, RD
• Brice Jeffrey Guy, DO
• Lisa L Guyot, MD PHD
• Joseph Victa Haber, P.T.

• Social Worker in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.