Individual provider Active NPI

Gabrielle Anna Paderewski, LMSW

  • Clinical Social Worker
  • Savannah, GA
National Provider Identifier
1174270714
Registry record updated Mar 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW010546 Issued in GA
Practice address
5102 Paulsen St BLDG 8
Savannah, GA 31405-4624
Phone
(912) 655-8855
Fax
(912) 335-6571
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X MSW010546 GA Primary

Addresses

Primary practice location

5102 Paulsen St BLDG 8
Savannah, GA 31405-4624

Mailing address

425 Hunt Dr
Savannah, GA 31406-8956
Phone (912) 667-0100

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

State licenses

LicenseStateTypeSpecialty
MSW010546GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1174270714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HUNT DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314068956",
            "telephone_number": "912-667-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054624",
            "telephone_number": "912-655-8855",
            "fax_number": "912-335-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEREWSKI",
        "first_name": "GABRIELLE",
        "middle_name": "ANNA",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW010546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.