Active NPI
Ora Gwendolyn Foster, LCSW
- Clinical Social Worker
- Fort Payne, AL
National Provider Identifier
1023344629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1509C
- Practice address
- 301 14TH St NW
Fort Payne, AL 35967-3155 - Phone
- (256) 845-4571
- Fax
- (256) 845-4582
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1509C | AL | Primary |
Addresses
Primary practice location
301 14TH St NW
Fort Payne, AL 35967-3155
Mailing address
301 14TH St NW
Fort Payne, AL 35967-3155
Phone (256) 845-4571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1509C | AL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etowah Dekalb Cherokee Mental Health Board, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Attalla, AL
- NPI 1326175795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1023344629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 14TH ST NW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359673155",
"telephone_number": "256-845-4571",
"fax_number": "256-845-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 14TH ST NW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359673155",
"telephone_number": "256-845-4571",
"fax_number": "256-845-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "ORA",
"middle_name": "GWENDOLYN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "1509C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.