Active NPI
Priscilla Gebrayel
- Social Worker
- Lincoln Park, MI
National Provider Identifier
1942883020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801119528
- Practice address
- 26300 W Outer Dr.
Lincoln Park, MI 48146 - Phone
- (313) 388-4630
- NPI assigned
- May 5, 2021
- Reactivated
- Sep 13, 2022
- Last updated
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801119528 | MI | Primary |
Addresses
Primary practice location
26300 W Outer Dr.
Lincoln Park, MI 48146
Mailing address
26300 W Outer Dr.
Lincoln Park, MI 48146
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Wayne State University School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
31205 23 Mile Rd
Chesterfield, MI 48047-1848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801119528 | MI | MD | Social Worker |
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.
-
- Clinical Social Worker
- Chesterfield, MI
- NPI 1568835924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1942883020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26300 W OUTER DR.",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "48146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26300 W OUTER DR.",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "48146",
"telephone_number": "313-388-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBRAYEL",
"first_name": "PRISCILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"deactivation_date": "2022-04-28",
"reactivation_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801119528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.