Active NPI
Gayle Shotkin, MSW, APSW
- Social Worker
- Novi, MI
National Provider Identifier
1457696304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801096357
- Practice address
- 39500 W 10 Mile Rd Ste 110
Novi, MI 48375-2947 - Phone
- (248) 330-0070
- NPI assigned
- Dec 4, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 128646-121 | WI | |
| Social Worker | 104100000X | 6801096357 | MI | Primary |
Addresses
Primary practice location
39500 W 10 Mile Rd Ste 110
Novi, MI 48375-2947
Mailing address
PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788
Other practice location 1
45895 Lathum Dr
Novi, MI 48374-3662
Phone (248) 330-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801096357 | MI | MD | Social Worker |
| 128646-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1457696304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MASON",
"state": "MI",
"postal_code": "488540010",
"telephone_number": "517-676-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39500 W 10 MILE RD STE 110",
"city": "NOVI",
"state": "MI",
"postal_code": "483752947",
"telephone_number": "248-330-0070"
}
],
"practiceLocations": [
{
"address_1": "45895 Lathum Dr",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483743662",
"country_code": "US",
"telephone_number": "248-330-0070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOTKIN",
"first_name": "GAYLE",
"credential": "MSW, APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-04",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "128646-121",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801096357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.