Individual provider Active NPI

Eva Melissa Gadd, LMSW

  • Clinical Social Worker
  • Huntington Woods, MI
National Provider Identifier
1750561395
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801073587 Issued in MI
Practice address
25214 W Roycourt
Huntington Woods, MI 48070-1742
Phone
(248) 894-4417
NPI assigned
Nov 12, 2007
Last updated
Nov 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801073587 MI Primary

Addresses

Primary practice location

25214 W Roycourt
Huntington Woods, MI 48070-1742

Mailing address

25214 W Roycourt
Huntington Woods, MI 48070-1742
Phone (248) 894-4417

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
I20080110000705 MI Practitioner - Clinical Social Worker 3476634866 Reassigns benefits to 2 organizations
Practice locations: Huntington Woods, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commerce Psychiatric Services PLCGroup PAC ID 6204923519, 9 clinicians

Practice addresses (Care Compare)

55 N Pond Dr
Suite 6
Walled Lake, MI 48390-3080
Phone (249) 669-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flowly Health Medical Group P a Clinical CurrentSince Sep 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Aspire Therapy Services, PLLC PastSince Jul 9, 2023 Accepting new patients
Tamade Inc. PastSince Nov 12, 2023 Accepting new patients
Senior Counseling Services LLC Clinical PastSince Dec 13, 2017 Accepting new patients

Locations

29777 Telegraph Rd
Ste 4200
Southfield, MI 48034
Phone (313) 312-9878

Interoperability endpoints

  • Direct secure messaging: evagadd@tdh.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1750561395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25214 W ROYCOURT",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701742",
            "telephone_number": "248-894-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25214 W ROYCOURT",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701742",
            "telephone_number": "248-894-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADD",
        "first_name": "EVA",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Woods, MI

Sources for this page

Verify at the official NPI Registry.