Individual provider Active NPI

Kendall Gaspari, LMSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1669064275
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801116396 Issued in MI
Practice address
2610 W Liberty St
Ann Arbor, MI 48103-6560
Phone
(734) 368-9691
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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 6801116396 MI Primary

Addresses

Primary practice location

2610 W Liberty St
Ann Arbor, MI 48103-6560

Mailing address

607 Woodland Dr
Dexter, MI 48130
Phone (847) 873-7870

Medicare participation

Medicare enrollment files
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 Nov 6, 2024 through Nov 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801116396MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety and Ocd Treatment Center of Ann Arbor CurrentSince Feb 7, 2021 Accepting new patients

Locations

2610 W Liberty St
Ann Arbor, MI 48103
Phone (734) 368-9691

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1669064275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WOODLAND DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "48130",
            "telephone_number": "847-873-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W LIBERTY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036560",
            "telephone_number": "734-368-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARI",
        "first_name": "KENDALL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801116396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.