Provider Demographics
NPI:1477175420
Name:GAUCI, JAYCIE MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:JAYCIE
Middle Name:MARIE
Last Name:GAUCI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JAYCIE
Other - Middle Name:MARIE
Other - Last Name:GIORDANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24119 THORN DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48134-6037
Mailing Address - Country:US
Mailing Address - Phone:734-751-7296
Mailing Address - Fax:
Practice Address - Street 1:23100 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2756
Practice Address - Country:US
Practice Address - Phone:734-304-4159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011038581041C0700X
MI68011124471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical