Organization Active NPI

GDC

  • Clinical Social Worker
  • Omaha, NE
National Provider Identifier
1124207097
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1801957774 Issued in NE
Legal business name
GDC
Practice address
2505 N 24TH St
Omaha, NE 68110-2252
Phone
(402) 451-5549
NPI assigned
Oct 29, 2007
Organization subpart
Yes
Parent organization
TEAM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Mrs. Gayal Danette Chambers, MHR
Title
Ceo
Phone
(402) 451-5549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1801957774 NE Primary

Addresses

Primary practice location

2505 N 24TH St
Omaha, NE 68110-2252

Mailing address

2505 N 24TH St
Omaha, NE 68110-2252
Phone (402) 451-5549

National Provider Directory

National Provider Directory
Part of
Team Inc

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1124207097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681102252",
            "telephone_number": "402-451-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681102252",
            "telephone_number": "402-451-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAM INC",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "GAYAL",
        "authorized_official_middle_name": "DANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-451-5549",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1801957774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.