Individual provider Active NPI

Mary A Gaddis, LMSW

  • Clinical Social Worker
  • Houghton, MI
National Provider Identifier
1487361077
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120489 Issued in MI
Practice address
1014 College Ave
Houghton, MI 49931-1823
Phone
(906) 523-7064
NPI assigned
Nov 2, 2022
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 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 6801120489 MI Primary

Addresses

Primary practice location

1014 College Ave
Houghton, MI 49931-1823

Mailing address

1014 College Ave
Houghton, MI 49931-1823
Phone (906) 523-7064

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260318001046 MI Practitioner - Clinical Social Worker 4587148572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1014 College Ave
Houghton, MI 49931-1823

1014 College Ave
Houghton, MI 49931-1889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801120489MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unite Up Clinical CurrentSince Jan 28, 2026 Accepting new patients

Locations

1014 College Ave
Houghton, MI 49931
Phone (906) 482-6800

1014 College Ave
Ofc
Houghton, MI 49931
Phone (904) 861-8233

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1487361077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 COLLEGE AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311823",
            "telephone_number": "906-523-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 COLLEGE AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311823",
            "telephone_number": "906-523-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

Verify at the official NPI Registry.