Provider Demographics
NPI:1154353241
Name:GASAWAY, JEMECE MICHELLE (MSW, LMSW)
Entity type:Individual
Prefix:MRS
First Name:JEMECE
Middle Name:MICHELLE
Last Name:GASAWAY
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:MRS
Other - First Name:JEMECE
Other - Middle Name:MICHELLE
Other - Last Name:RICHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14800 QUORUM DR STE 255
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-1415
Mailing Address - Country:US
Mailing Address - Phone:214-702-1231
Mailing Address - Fax:
Practice Address - Street 1:14800 QUORUM DR STE 255
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-1415
Practice Address - Country:US
Practice Address - Phone:214-702-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1020101Y00000X
LA963101YA0400X
TX62542101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health