Lisa Gdaniec, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801092318 Issued in MI

Practice address

2500 S Main St
Ann Arbor, MI 48103-5837

Phone

(734) 662-4001

Fax

(734) 926-4649

NPI assigned

Jan 5, 2018

Last updated

Jan 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1518474014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035837",
            "telephone_number": "734-662-4001",
            "fax_number": "734-926-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035837",
            "telephone_number": "734-662-4001",
            "fax_number": "734-926-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GDANIEC",
        "first_name": "LISA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Eldon Gay, MD
• Tamara Lou Gay, MD
• Kelsey Gaylor, MD
• Marianne Evelyn Gaylor, NP
• Oluwatoyin Gbademu
• Jade Shan Ge
• Ashley Gearhardt, PH.D
• Kathleen M S Gebarski, MD
• Stephen S Gebarski, MD
• Meyisaw Yohannes Gebreyesus

• Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.