Individual provider Active NPI

Rachel Gaus

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1942031430
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23271040901 Issued in MI
Practice address
5103 Eastman Ave Ste 179
Midland, MI 48640-6725
Phone
(989) 423-0592
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 23271040901 MI Primary

Addresses

Primary practice location

5103 Eastman Ave Ste 179
Midland, MI 48640-6725

Mailing address

3804 Lawndale Dr
Midland, MI 48642-6641
Phone (989) 313-1507

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

LicenseStateTypeSpecialty
23271040901MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Therapy CurrentSince Aug 11, 2024 Accepting new patients

Locations

5103 Eastman Ave
Ste 179
Midland, MI 48640
Phone (989) 423-0592

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1942031430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 LAWNDALE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426641",
            "telephone_number": "989-313-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 EASTMAN AVE STE 179",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406725",
            "telephone_number": "989-423-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUS",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "23271040901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.