Individual provider Active NPI

Allison Gross, LMSW-C

  • Clinical Social Worker
  • Cheboygan, MI
National Provider Identifier
1972187367
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10823 N Straits Hwy Ste B
Cheboygan, MI 49721-9077
Phone
(231) 818-5901
NPI assigned
May 11, 2021
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 Primary

Addresses

Primary practice location

10823 N Straits Hwy Ste B
Cheboygan, MI 49721-9077

Mailing address

4981 Long Lake Rd
Cheboygan, MI 49721-9116
Phone (231) 818-5901

Other names 1

  • Allison Woiderski Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aces Pediatric Behavioral Health PLLC Clinical CurrentSince Oct 6, 2024 Accepting new patients
Northern Family Intervention Services, Inc. PastSince May 1, 2021 Accepting new patients

Locations

10823 N Straits Hwy
#B
Cheboygan, MI 49721
Phone (231) 268-1149

Organizations & group practices 2

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1972187367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4981 LONG LAKE RD",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219116",
            "telephone_number": "231-818-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 N STRAITS HWY STE B",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219077",
            "telephone_number": "231-818-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "WOIDERSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheboygan, MI

Sources for this page

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