Gina Nicole Shuster, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093824 Issued in MI

Practice address

10785 S Saginaw St Ste a
Grand Blanc, MI 48439-7003

Phone

(810) 695-0055

Fax

(810) 695-6813

NPI assigned

Jan 28, 2013

Sex

Female

Sole proprietor

Yes

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, UT2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Human Potential IncGroup PAC ID 0749247849, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Center for Human Potential Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
  • NPI 1548239940

  UT

  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1851161285

  MI

  Medicare reassignment NPD
• Alpenglow Counseling and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Ogden, UT
  • NPI 1235074642
  NPD Authorized official
• Oakland Psychological Clinic, P.C.

  • Mental Health Counselor
  • Flint, MI
  • NPI 1538356282

  Clinical

  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomfield Hills, MI
  • NPI 1376300616
  NPD
• Center for Human Potential

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1366679441
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494

  Clinical

  NPD

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1497093348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10785 S SAGINAW ST STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397003",
            "telephone_number": "810-695-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 S SAGINAW ST STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397003",
            "telephone_number": "810-695-0055",
            "fax_number": "810-695-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTER",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Shoemaker
• Robin Babu Shrestha, M.D.
• Raneem Shukairy
• Joseph Shull, M.D.
• Emily Shumaker
• Thomas A Shuster, D.O.
• Mary Ellen Shute, LPN
• Amira Hassan Sidahmed-Bakri III
• Harmony Ann Sierens, M.D.
• Catherine Marie Sikora, PT, CLT-LANA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.