Jodie Kay Gaines, LCSW, LCAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011629A Issued in IN

Practice address

859 Lincolnway E
Plymouth, IN 46563-1936

Phone

(574) 701-2355

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jodie Kay Leasure Former name

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bowen Health Inc

  • Adult Mental Health Clinic/Center
  • Warsaw, IN
  • NPI 1639172810
  Medicare reassignment NPD
• Stable Gains Mental Health Service LLC

  • Clinical Social Worker
  • Plymouth, IN
  • NPI 1851196455
  NPD Authorized official
• Bowen Health Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Wayne, IN
  • NPI 1023668183
  NPD
• Bowen Health, Inc.

  • Psychiatric Hospital Unit
  • Warsaw, IN
  • NPI 1760521140
  NPD (past)

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1669191490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 LINCOLNWAY E",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631936",
            "telephone_number": "574-701-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 LINCOLNWAY E",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631936",
            "telephone_number": "574-701-2355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Anchorage Point Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465802282",
            "country_code": "US",
            "telephone_number": "800-342-5653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "JODIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011629A",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001775A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "LEASURE",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "CARLSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Cale Friesen
• Courtney A Fuchs, OTR
• Full Sail Partners, LLC
• Nicole Furlong
• Bryttenny Shyanne Gaines, MSW
• Kelly Gaines
• Galen Inpatient Physicians PC
• Gloria Elizabeth Garcia-Nunez
• Elena Garcia
• Alyssa Gardner

• Clinical Social Worker in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; 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.