Active NPI
Gina Salazar Patenaude, LMSW
- Clinical Social Worker
- Davison, MI
National Provider Identifier
1770008351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106570
- Practice address
- 805 S State Rd # 182
Davison, MI 48423-1751 - Phone
- (810) 412-8894
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801106570 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801100947 | MI |
Addresses
Primary practice location
805 S State Rd # 182
Davison, MI 48423-1751
Mailing address
805 S State Rd # 182
Davison, MI 48423-1751
Phone (810) 412-8894
Other practice location 1
420 W 5th Ave
Flint, MI 48503-2445
Phone (810) 257-3705
Other practice location 2
1102 Mackin Rd
Flint, MI 48503-1204
Phone (810) 257-3705
Other names 1
- Gina Grace Salazar
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801100947 | MI | MD | Clinical Social Worker |
| 6801106570 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1770008351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 S STATE RD # 182",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231751",
"telephone_number": "810-412-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S STATE RD # 182",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231751",
"telephone_number": "810-412-8894"
}
],
"practiceLocations": [
{
"address_1": "420 W 5th Ave",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485032445",
"country_code": "US",
"telephone_number": "810-257-3705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1102 Mackin Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485031204",
"country_code": "US",
"telephone_number": "810-257-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATENAUDE",
"first_name": "GINA",
"middle_name": "SALAZAR",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106570",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801100947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "SALAZAR",
"middle_name": "GRACE",
"credential": "LLMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.