Gail Kiacz LMSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GAIL KIACZ LMSW LLC

Practice address

120 W Exchange St Ste 3-6
Owosso, MI 48867-2834

Phone

(989) 494-3105

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Gail Kiacz

Title

Owner

Phone

(810) 691-1114

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1770110470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 E LYTLE RD",
            "city": "LENNON",
            "state": "MI",
            "postal_code": "484499753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EXCHANGE ST STE 3-6",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672834",
            "telephone_number": "989-494-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Mason St Apt 4",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488673053",
            "country_code": "US",
            "telephone_number": "989-494-3105",
            "fax_number": "989-288-2957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAIL KIACZ LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "KIACZ",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-691-1114"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Frye
• Nichole Suzanne Frye
• Dawn Fuller
• Julie A Fuller, RN, MSN, CNM
• Tamara Sue Fuller, OT
• Ajaykumar J Gajera, RPH
• Maria Donna Galang-Qahwash, DO
• Brittany Garcia
• George Garcia, MALLP
• Raymond E Garcia

• Clinical Social Worker in Owosso, MI
• Providers in Owosso, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.