Active NPI
Tim Ryan Gadwell-Hall, CCTP
- Social Worker
- Washington, DC
National Provider Identifier
1134836158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 7603 Georgia Ave NW
Washington, DC 20012-1617 - Phone
- (202) 318-3375
- NPI assigned
- Oct 31, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | DC | Primary |
Addresses
Primary practice location
7603 Georgia Ave NW
Washington, DC 20012-1617
Mailing address
7603 Georgia Ave NW
Washington, DC 20012-1617
Phone (202) 318-3375
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgadwell-hall@kinarahcs.com | Direct |
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": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1134836158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7603 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121617",
"telephone_number": "202-318-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7603 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121617",
"telephone_number": "202-318-3375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADWELL-HALL",
"first_name": "TIM",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "CCTP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgadwell-hall@kinarahcs.com",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7603 Georgia Ave NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200121617",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.