Active NPI
Janell Gaddis
- School Social Worker
- Lawrence, MA
National Provider Identifier
1104430495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 22 Smith St
Lawrence, MA 01841-4150 - Phone
- (978) 828-8690
- NPI assigned
- Sep 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
22 Smith St
Lawrence, MA 01841-4150
Mailing address
375 Lowell St
Lawrence, MA 01841-4630
Phone (978) 828-8690
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1104430495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 LOWELL ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018414630",
"telephone_number": "978-828-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SMITH ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018414150",
"telephone_number": "978-828-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDIS",
"first_name": "JANELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.