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GAYLE WITHAM
NPI 1255780979
Social Worker - Clinical in Grand Rapids, MI

Active since June 03, 2016
558 WINONA AVE NW, GRAND RAPIDS, MI 49504(616) 477-3404 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gayle Witham NPPES

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

GAYLE WITHAM (NPI 1255780979) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since June 2016. The organization lists Gayle Witham, Social Work, as its authorized official.

NPPES Registry Identity

NPI1255780979
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGAYLE WITHAM
Location Address558 WINONA AVE NWGrand Rapids, MI 49504-4740
Mailing Address558 Winona Ave NwGrand Rapids, MI 49504-4740 · (616) 477-3404
Phone(616) 477-3404
Organization SubpartNo
Authorized OfficialGayle WithamSocial Work · (616) 477-3404
Enumeration DateJune 3, 2016
✔ NPI 1255780979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801085993
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
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1255780979. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is Gayle Witham located?

Gayle Witham is located 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.

When was this NPI record last updated?

The NPPES record for Gayle Witham was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.