MRS. ROSLYN TERESE GABRIELE (LMSW) – Clinical Social Worker, NPI 1114224862

MRS. ROSLYN TERESE GABRIELE (LMSW) is a healthcare provider. based in Walker, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 1805826 (MI). The NPI Number for MRS. ROSLYN TERESE GABRIELE (LMSW) is 1114224862

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ROSLYN TERESE GABRIELE (LMSW)
NPI
1114224862
Phone
(616) 805-3660
Address
3800 Lake Michigan Dr NW Ste 103
Enumeration Date
15 February 2011
Last Update Date
29 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168053660
Graduation Year
2009 (17 years ago)
PAC ID
7618359811
Group Practice PAC ID
9234469255
Professional Enrollment ID
I20220804002357
Address ID
MI495344583WA3800XNWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MRS. ROSLYN TERESE GABRIELE (LMSW)

  • 3800 Lake Michigan Dr NW Ste 103

    Walker, MI 495344583

    Phone: (616) 805-3660

    Type: Location

  • 355 SETTLERS RD

    HOLLAND, MI 494233704

    Phone: (616) 796-9595

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220804002357IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49534)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234469255View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Where can patients find MRS. ROSLYN TERESE GABRIELE (LMSW)'s NPI?
You can confirm MRS. ROSLYN TERESE GABRIELE (LMSW) with NPI 1114224862; it appears in the national provider directory.
Is MRS. ROSLYN TERESE GABRIELE (LMSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. ROSLYN TERESE GABRIELE (LMSW) work in?
You can think of MRS. ROSLYN TERESE GABRIELE (LMSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. ROSLYN TERESE GABRIELE (LMSW)?
The page summarizes Walker, Michigan for MRS. ROSLYN TERESE GABRIELE (LMSW); expand the address list for detail.
What if Walker, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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