Individual provider Active NPI

Cynthia J. Gault, LMSW, ACSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1851466536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085177 Issued in MI
Practice address
110 E Kingsley St
Ann Arbor, MI 48104-1138
Phone
(734) 995-0901
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 6801085177 MI Primary

Addresses

Primary practice location

110 E Kingsley St
Ann Arbor, MI 48104-1138

Mailing address

2426 Arrowwood TRL
Ann Arbor, MI 48105-1210
Phone (734) 995-0901

Other names 1

  • Ms. Cindy J. Gault Professional name

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
I20071023000117 MI Practitioner - Clinical Social Worker 0446346431 Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2426 Arrowwood TRL
Ann Arbor, MI 48105-1210
Phone (734) 765-3057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851466536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 ARROWWOOD TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051210",
            "telephone_number": "734-995-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E KINGSLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041138",
            "telephone_number": "734-995-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULT",
        "first_name": "CYNTHIA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "GAULT",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "RN, LMSW, ACSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.