Brian David Gallagher, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801020267 Issued in MI

Practice address

14236 Irvington Dr
Warren, MI 48088-3819

Phone

(586) 772-7395

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790837870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14236 IRVINGTON DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883819",
            "telephone_number": "586-772-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14236 IRVINGTON DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883819",
            "telephone_number": "586-772-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmas Gabrail
• Oscar Kwame Gagoh, DDS
• Shakia Gaines
• Vickie Gaines
• Anna Galbenski
• Melissa Galoner, RN
• Courtney Madison Gamache, DO
• Gerald Karim Gappy, PHARMD
• Firras Garada, DPM
• Cecilia Garcia

• Clinical Social Worker in Warren, MI
• Providers in Warren, 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 Jul 8, 2007; 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.