MS. MONIQUE GAINES
NPI 1194104638
Social Worker - Clinical in Wayne, MI

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
35425 W MICHIGAN AVE, WAYNE, MI 48184(734) 722-6395 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, Aug 23, 2023, Aug 4, 2022 and 1 more (4 updates tracked since 2015).

About Ms. Monique Gaines NPPES

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

MS. MONIQUE GAINES (NPI 1194104638) is an individual clinical provider in Wayne, Michigan, licensed in Michigan (6801113563) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194104638
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MONIQUE GAINES
Location Address35425 W MICHIGAN AVEWayne, MI 48184-9800
Mailing Address35425 W Michigan AveWayne, MI 48184-9800 · (734) 722-6395
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 28, 2015
Last NPPES UpdateApril 3, 20244 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1194104638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801113563
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.

Also ListedSocial WorkerTaxonomy 104100000X · License 6801113563 (MI)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 6802088243 (MI)
Also ListedTechnician, OtherTaxonomy 247200000X · License 6802088243 (MI)
35425 W MICHIGAN AVE, Wayne, MI 48184

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Monique Gaines is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163812405
PECOS Enrollment IDI20211201000982
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48184 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 $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

Social Worker
35425 W MICHIGAN AVE
WAYNE, MI 48184
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184
Speech-Language Pathologist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Occupational Therapist
35425 W MICHIGAN AVE
WAYNE, MI 48184
Case Manager/Care Coordinator
35425 W MICHIGAN AVE
WAYNE, MI 48184

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 Monique Gaines's NPI number?

The NPI number for Monique Gaines is 1194104638. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Monique Gaines located?

Monique Gaines practices at 35425 W Michigan Ave, Wayne, MI 48184. The listed phone number is (734) 722-6395.

What is Monique Gaines's specialty?

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

Is Monique Gaines enrolled in Medicare?

Yes. Monique Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Monique Gaines accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Monique Gaines 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.

Is Monique Gaines affiliated with any hospitals?

According to CMS data, Monique Gaines is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Monique Gaines was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.