Individual provider Active NPI

Edina Gegic, LMSW

  • Case Manager/Care Coordinator
  • Sterling Heights, MI
National Provider Identifier
1720467673
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
6801091084 Issued in MI
Practice address
13632 Clinton River Rd
Sterling Heights, MI 48313-5417
Phone
(586) 461-8408
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 6801091084 MI Primary

Addresses

Primary practice location

13632 Clinton River Rd
Sterling Heights, MI 48313-5417

Mailing address

13632 Clinton River Rd
Sterling Heights, MI 48313-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20260515000414 MI Practitioner - Clinical Social Worker 0042789497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15600 19 Mile Rd
Clinton Township, MI 48038-3502

2399 E Walton Blvd
Auburn Hills, MI 48326-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091084MIMDCase Manager/Care Coordinator

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1720467673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13632 CLINTON RIVER RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13632 CLINTON RIVER RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135417",
            "telephone_number": "586-461-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGIC",
        "first_name": "EDINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6801091084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.