Michael John Gellert, M.A., M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS16153 Issued in CA

Practice address

3846 McLaughlin Ave
Los Angeles, CA 90066-4010

Phone

(310) 313-3063

Fax

(310) 313-3063

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 7, 2020 through Apr 7, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1578702155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 MCLAUGHLIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664010",
            "telephone_number": "310-313-3063",
            "fax_number": "310-313-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 MCLAUGHLIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664010",
            "telephone_number": "310-313-3063",
            "fax_number": "310-313-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLERT",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.A., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Gelineau
• David H Geller, M.D.
• Jordan Geller, M.D.
• Kenneth Allen Geller, M.D
• Stephanie Geller, M.D.
• Meryle Hope Gellman, PH.D., PSY.D.
• Ilya Gelman, M.D.
• Sofi Gelvan
• Gem Initiative
• Gem Medical Associates

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.