Healthcare Provider Details

I. General information

NPI: 1003733635
Provider Name (Legal Business Name): GABRIELLE KERR LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 SALZBURG AVE
BAY CITY MI
48706-3443
US

IV. Provider business mailing address

1210 SALZBURG AVE
BAY CITY MI
48706-3443
US

V. Phone/Fax

Practice location:
  • Phone: 989-492-0404
  • Fax: 989-402-1186
Mailing address:
  • Phone: 989-492-0404
  • Fax: 989-402-1186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851122203
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851122203
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: