Michelle Wise Gendusa, LICSW
NPI 1598505513 · Clinical Social Worker · Fayetteville, AR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Wise Gendusa, LICSW is a Clinical Social Worker provider in Fayetteville, AR (NPI 1598505513).
Provider details
- NPI number
- 1598505513
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LW60479720 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-28
- Last updated
- 2025-01-26
- Certified
- 2025-01-26
Frequently asked questions
- What is Michelle Wise Gendusa's NPI number?
- Michelle Wise Gendusa's National Provider Identifier (NPI) is 1598505513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Wise Gendusa's specialty?
- Michelle Wise Gendusa is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Michelle Wise Gendusa located?
- Michelle Wise Gendusa's practice location on file with NPPES is 3546 W Greystone Dr., Fayetteville, AR 72764.
- What is Michelle Wise Gendusa's phone number?
- The practice phone number listed in the NPPES registry for Michelle Wise Gendusa is (509) 434-6386.
- Does Michelle Wise Gendusa accept Medicare?
- Michelle Wise Gendusa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Wise Gendusa's NPI active?
- Yes — Michelle Wise Gendusa's NPI (1598505513) is active in the NPPES registry as of the last update on 2025-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.