Active NPI
Gabrielle Joy Dworkin, LMHC, RPT
- Mental Health Counselor
- Taunton, MA
National Provider Identifier
1124328158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00570
- Practice address
- 1 Washington St
Taunton, MA 02780-3960 - Phone
- (508) 828-9116
- NPI assigned
- Oct 25, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 419331101 | NY | |
| Mental Health Counselor | 101YM0800X | MHC00570 | RI | Primary |
| School Counselor | 101YS0200X | 64997 | RI |
Addresses
Primary practice location
1 Washington St
Taunton, MA 02780-3960
Mailing address
1 Washington St
Taunton, MA 02780-3960
Phone (508) 828-9116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250121003128 | RI | Practitioner - Mental Health Counselor | 0143759100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00570 | RI | MD | Mental Health Counselor |
| 419331101 | NY | MD | School Counselor |
| 64997 | RI | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Current | Accepting new patients |
Locations
400 Massasoit Ave
Ste 305
East Providence, RI 02914
Phone (401) 268-5218
1130 Ten Rod Rd
Bldg E
North Kingstown, RI 02852
1130 Ten Rod Rd
North Kingstown, RI 02852
Phone (401) 268-3886
Organizations & group practices 2
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.
-
- Counseling Psychologist
- East Providence, RI
- NPI 1659152726
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1124328158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803960",
"telephone_number": "508-828-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803960",
"telephone_number": "508-828-9116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWORKIN",
"first_name": "GABRIELLE",
"middle_name": "JOY",
"credential": "LMHC, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NY",
"license": "419331101",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00570",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "RI",
"license": "64997",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.