Individual provider Active NPI

Gary Houseman, LMSW

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1447791751
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064850 Issued in MI
Practice address
706 Chippewa SQ
Ste 200
Marquette, MI 49855-4834
Phone
(906) 228-4050
Fax
(906) 228-2153
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801064850 MI
Clinical Social Worker 1041C0700X 6801064850 MI Primary
School Social Worker 1041S0200X 6801064850 MI

Addresses

Primary practice location

706 Chippewa SQ
Ste 200
Marquette, MI 49855-4834

Mailing address

706 Chippewa SQ
Ste 200
Marquette, MI 49855-4834
Phone (906) 228-4050

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
6801064850MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services of the U.P. Inc. Past Accepting new patients
Child and Family Services of the Upper Peninsula Inc PastSince Sep 1, 2015 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1447791751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CHIPPEWA SQ",
            "address_2": "STE 200",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554834",
            "telephone_number": "906-228-4050",
            "fax_number": "906-228-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CHIPPEWA SQ",
            "address_2": "STE 200",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554834",
            "telephone_number": "906-228-4050",
            "fax_number": "906-228-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEMAN",
        "first_name": "GARY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801064850",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064850",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MI",
            "license": "6801064850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.