Rezell Gore, MSW, LCSW, LCAS, CCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010441 Issued in NC

Practice address

212 Elm St
Aberdeen, NC 28315-2802

Phone

(910) 209-4332

Fax

(910) 757-0041

NPI assigned

Sep 9, 2014

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Love Life Counseling Services, PLLC

  • Clinical Social Worker
  • Aberdeen, NC
  • NPI 1497235626

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Allen L Brooks Professional Counseling Service

  • Community/Behavioral Health Agency
  • Aberdeen, NC
  • NPI 1023598448

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1194126276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283770485",
            "telephone_number": "910-209-4332",
            "fax_number": "910-757-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 ELM ST",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152802",
            "telephone_number": "910-209-4332",
            "fax_number": "910-757-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "REZELL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-20470",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C010441",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian J Ganoe, REGISTERED DIETITIAN
• Efren Garcia, NCPSS
• Gary P Dackor DC Inc
• Christine Pirozzolo Gatti, D.D.S.
• Raquel Katharine Gil-Puglisi, MD
• Greater Image HC
• Amanda Kuhn Grimshaw, DSS
• Judith Ann Gunnarson
• Myra Jane Hall, M.D.
• Wendy Hamilton, PHARMD

• Clinical Social Worker in Aberdeen, NC
• Providers in Aberdeen, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.