Individual provider Active NPI

Carmel Gottschall, LMSW

  • School Social Worker
  • Binghamton, NY
National Provider Identifier
1225790041
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
10254401 Issued in NY
Practice address
1182 Chenango St
Binghamton, NY 13901-1653
Phone
(607) 772-6904
Fax
(607) 722-4123
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 10254401 NY Primary

Addresses

Primary practice location

1182 Chenango St
Binghamton, NY 13901-1653

Mailing address

1182 Chenango St
Binghamton, NY 13901-1653
Phone (607) 772-6904

Other identifiers 1

IdentifierTypeStateIssuer
02997780MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Binghamton 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10254401NYMDSchool Social Worker
096118NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home of Wyoming Conference PastSince Oct 10, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1225790041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 CHENANGO ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011653",
            "telephone_number": "607-772-6904",
            "fax_number": "607-722-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 CHENANGO ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011653",
            "telephone_number": "607-772-6904",
            "fax_number": "607-722-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHALL",
        "first_name": "CARMEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "10254401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02997780",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Binghamton",
            "affiliation": "N",
            "endpointDescription": "Office Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1182 Chenango St",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139011653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.