Organization Active NPI

Holly C. Gaul, L.L.C.

  • Clinical Social Worker
  • Sea Girt, NJ
National Provider Identifier
1013066562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01309600 Issued in NJ
Legal business name
HOLLY C. GAUL, L.L.C.
Practice address
2130 Highway 35
BLDG. a-114
Sea Girt, NJ 08750-1010
Phone
(732) 278-6651
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Holly C. Gaul, LCSWNPI 1023543485
Title
Psychotherapist
Phone
(732) 278-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC01309600 NJ Primary

Addresses

Primary practice location

2130 Highway 35
BLDG. a-114
Sea Girt, NJ 08750-1010

Mailing address

2130 Highway 35
BLDG. a-114
Sea Girt, NJ 08750-1010
Phone (732) 278-6651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251017002245 NJ Part B Supplier - Clinic/Group Practice 5799272142 Receives reassigned benefits from 1 practitioner
Practice locations: Sea Girt, NJ

National Provider Directory

National Provider Directory

Locations

2130 Highway 35
Bldg A114
Sea Girt, NJ 08750
Phone (732) 278-6651

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013066562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "BLDG. A-114",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-278-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "BLDG. A-114",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-278-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY C. GAUL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUL",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-278-6651",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01309600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.