SIERRA GARDNER (LMSW) – Clinical Social Worker, NPI 1265904460

SIERRA GARDNER (LMSW) is a healthcare provider. based in Detroit, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. The NPI Number for SIERRA GARDNER (LMSW) is 1265904460

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
SIERRA GARDNER (LMSW)
NPI
1265904460
Phone
Not provided
Address
18095 FAIRPORT ST
Enumeration Date
28 December 2018
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2484561991
Graduation Year
2011 (15 years ago)
PAC ID
0446637771
Group Practice PAC ID
5395633606
Professional Enrollment ID
I20220506000857
Address ID
MI483411032PO1200XRDXX438
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for SIERRA GARDNER (LMSW)

  • Fairport Street, Conner Creek, Detroit, Wayne County, Michigan, 48205, United States

    DETROIT, MI 482052630

    Phone:

    Mailing address matches the actual address.

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: 2022-05-06

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
I20220506000857IClinical 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 48205)

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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: 5395633606View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I verify SIERRA GARDNER (LMSW) with an NPI only?
You can start verification with NPI 1265904460 for SIERRA GARDNER (LMSW), then check state licensing separately.
Is SIERRA GARDNER (LMSW) listed as active for patients and plans?
The listing shows SIERRA GARDNER (LMSW) as active in the NPI system.
What is SIERRA GARDNER (LMSW)'s primary classification?
Clinical Social Worker is the headline specialty for SIERRA GARDNER (LMSW) here. Clinical services aligned with this taxonomy classification.
Where should I expect SIERRA GARDNER (LMSW) on a map?
Expect Detroit, Michigan as a primary anchor for SIERRA GARDNER (LMSW) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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