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GAYLE WITHAM
NPI 1104330307
Social Worker - Clinical in Grand Rapids, MI

Active since November 27, 2017PECOS Enrolled
558 WINONA AVE NW, GRAND RAPIDS, MI 49504(616) 477-3404 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gayle Witham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAYLE WITHAM (NPI 1104330307) is an individual clinical provider in Grand Rapids, Michigan and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104330307
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGAYLE WITHAM
Location Address558 WINONA AVE NWGrand Rapids, MI 49504-4740
Mailing Address558 Winona Ave NwGrand Rapids, MI 49504-4740
Phone(616) 477-3404
Sole ProprietorYes
Enumeration DateNovember 27, 2017
✔ NPI 1104330307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
558 WINONA AVE NW, Grand Rapids, MI 49504
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gayle Witham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gayle Witham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,226 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Michigan enrollment
  • 411 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAYLE WITHAM
Social Worker (Clinical)
558 WINONA AVE NW
GRAND RAPIDS, MI 49504
Kent County (616) 477-3404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gayle Witham's NPI number?

The NPI number for Gayle Witham is 1104330307. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is Gayle Witham located?

Gayle Witham practices at 558 Winona Ave NW, Grand Rapids, MI 49504. The listed phone number is (616) 477-3404.

What is Gayle Witham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gayle Witham enrolled in Medicare?

Yes. Gayle Witham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gayle Witham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gayle Witham reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gayle Witham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gayle Witham accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Gayle Witham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gayle Witham was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.