Jessica Gates
Social Worker, Clinical in Detroit, MI. Individual provider (NPI-1).
NPI number1043718166
StatusActive
Last updated in NPPESDec 18, 2018
Details
- NPI
- 1043718166
- Entity type
- Individual (NPI-1)
- Name
- Jessica Gates
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2018
- Last updated
- Dec 18, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801102276 | MI | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
7310 Woodward AveDetroit, MI 48202-3165
Phone 313-896-1444
Mailing address
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-299-0030
Other practice locations
41521 W 11 Mile Rd
Novi, MI 48375-1803
Novi, MI 48375-1803
Phone 248-299-0030
28609 Venice Ct
Farmington Hills, MI 48334-4150
Farmington Hills, MI 48334-4150
Phone 248-798-9096
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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