Individual provider Active NPI

William Lee Gaston, LCSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1174576318
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1361C Issued in AL
Practice address
1401 20TH St S
Birmingham, AL 35205-4913
Phone
(205) 510-2761
Fax
(205) 510-2790
NPI assigned
May 18, 2006
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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 1361C AL Primary

Addresses

Primary practice location

1401 20TH St S
Birmingham, AL 35205-4913

Mailing address

1401 20TH St S
Birmingham, AL 35205-4913
Phone (205) 510-2761

Other identifiers 5

IdentifierTypeStateIssuer
51521558OtherALBLUE CROSS BLUE SHIELD
9101407OtherALAETNA
51516719OtherALBLUE CROSS BLUE SHIELD
6264827OtherALALL KIDS INS. (UBH)
6264827OtherALUNITED BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000524 AL Practitioner - Clinical Social Worker 2668427220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pitts Mental Health Associates IncGroup PAC ID 6103853445, 13 clinicians

Practice addresses (Care Compare)

601 Beacon Pkwy W
Suite 201
Birmingham, AL 35209-3123
Phone 20587035207811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1361CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pitts Mental Health Associates, Inc. CurrentSince Jun 13, 2016 Accepting new patients

Locations

601 Beacon Pkwy W
Ste 201
Birmingham, AL 35209
Phone (205) 536-7811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1174576318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 20TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054913",
            "telephone_number": "205-510-2761",
            "fax_number": "205-510-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 20TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054913",
            "telephone_number": "205-510-2761",
            "fax_number": "205-510-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1361C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51521558",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9101407",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51516719",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL KIDS INS. (UBH)",
            "identifier": "6264827",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6264827",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.