Shawn L Gauthier, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080903 Issued in MI

Practice address

550 Cascade West Pkwy SE
Grand Rapids, MI 49546-2137

Phone

(616) 930-4123

Fax

(616) 323-3994

NPI assigned

Oct 23, 2007

Sex

Female

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

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

616 Counseling Professional CorporationGroup PAC ID 6901146208, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• 616 Counseling Professional Corporation

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1467925222
  Medicare reassignment Care Compare group NPD Authorized official
• Shawn L. Gauthier

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1336479138
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1912196270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CASCADE WEST PKWY SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462137",
            "telephone_number": "616-930-4123",
            "fax_number": "616-323-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CASCADE WEST PKWY SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462137",
            "telephone_number": "616-930-4123",
            "fax_number": "616-323-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "SHAWN",
        "middle_name": "L",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily T Gaugier
• Andre John Gauri, M.D.
• Anudeeta Gautam, MD
• Annelise Claerr Gauthier, AGPCNP
• Sarah Nichole Gauthier, DO
• Veronica Alexandrea Marie Gauthier
• Dan Gautz
• Brian Thomas Gavin, MD
• Candace Anne Gavin, RN
• Kellie Louise Gavinski

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.