Active NPI
Gobourne Behavioral Health & Counseling, PLLC
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1083182091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GOBOURNE BEHAVIORAL HEALTH & COUNSELING, PLLC
- Practice address
- 7059 Blair Rd NW Ste 202-2
Washington, DC 20012-1959 - Phone
- (301) 613-5838
- NPI assigned
- Nov 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Zamantha Gobourne, LGSW, LICSW
- Title
- Ceo
- Phone
- (301) 613-5838
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7059 Blair Rd NW Ste 202-2
Washington, DC 20012-1959
Mailing address
7059 Blair Rd NW Ste 202-2
Washington, DC 20012-1959
Phone (301) 613-5838
Other practice location 1
1629 K St NW
Washington, DC 20006-1602
Phone (301) 613-5838
National Provider Directory
National Provider DirectoryLocations
7059 Blair Rd NW
Ste 2022
Washington, DC 20012
Phone (301) 613-5838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Washington, DC
- NPI 1396117057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572566400000",
"number": "1083182091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7059 BLAIR RD NW STE 202-2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121959",
"telephone_number": "301-613-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7059 BLAIR RD NW STE 202-2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121959",
"telephone_number": "301-613-5838"
}
],
"practiceLocations": [
{
"address_1": "1629 K St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200061602",
"country_code": "US",
"telephone_number": "301-613-5838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOBOURNE BEHAVIORAL HEALTH & COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-07",
"last_updated": "2019-11-01",
"status": "A",
"authorized_official_last_name": "GOBOURNE",
"authorized_official_first_name": "ZAMANTHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-613-5838",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LGSW, LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.