Individual provider Active NPI

Gabriella Elizabeth Erdt, BSW

  • Social Worker
  • Woodhaven, MI
National Provider Identifier
1629541206
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
24032 Heritage Dr
Woodhaven, MI 48183-3209
Phone
(734) 552-4042
NPI assigned
Jan 7, 2019
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

24032 Heritage Dr
Woodhaven, MI 48183-3209

Mailing address

24032 Heritage Dr
Woodhaven, MI 48183-3209
Phone (734) 552-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1629541206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24032 HERITAGE DR",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833209",
            "telephone_number": "734-552-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24032 HERITAGE DR",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833209",
            "telephone_number": "734-552-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDT",
        "first_name": "GABRIELLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.