Jessi Gholami, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114062 Issued in MI

Practice address

3005 Boardwalk St Ste 201
Ann Arbor, MI 48108-5218

Phone

(734) 222-9277

NPI assigned

Jul 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nordic Hearts Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Severn, MD
  • NPI 1124907613
  NPD Authorized official

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497488050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 CHRISTIANA CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441484",
            "telephone_number": "248-807-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 BOARDWALK ST STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085218",
            "telephone_number": "734-222-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Padonia Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210932308",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Ritchie Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211464164",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Ridgely Rd Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935124",
            "country_code": "US",
            "telephone_number": "443-367-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOLAMI",
        "first_name": "JESSI",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114062",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "30092",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "C200004022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ghaziuddin, MD
• Neera Ghaziuddin, MD
• Janette Ghedotte, MA LLP CAAC CIRT CHT
• Olivia Ghedotti
• Casey Ghesquiere
• Tamara Mangan Ghormley, NP
• Monalisa Ghosh, M.D.
• Niloy Ghosh, MD
• Bethany Ann Giacobbe, NP
• Justin Giang, PHARMD

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Sep 11, 2025; 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.