Active NPI
Gaston County Department of Social Services
- Case Management Agency
- Gastonia, NC
National Provider Identifier
1245376151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- GASTON COUNTY DEPARTMENT OF SOCIAL SERVICES
- Practice address
- 330 N Marietta St
Gastonia, NC 28052-2332 - Phone
- (704) 862-7540
- Fax
- (704) 862-7677
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith A Moon
- Title
- Director
- Phone
- (704) 862-7540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
330 N Marietta St
Gastonia, NC 28052-2332
Mailing address
330 N Marietta St
Gastonia, NC 28052-2332
Phone (704) 862-7540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8700031 | Medicaid | NC | |
| 3408308 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Gaston County Health de
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Gastonia, NC
- NPI 1770699514
-
- Case Management Agency
- Gastonia, NC
- NPI 1477709806
-
- Community Health Clinic/Center
- Gastonia, NC
- NPI 1275668345
-
- Public Health or Welfare Agency
- Gastonia, NC
- NPI 1780903831
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Gastonia, NC
- NPI 1669597779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245376151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N MARIETTA ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280522332",
"telephone_number": "704-862-7540",
"fax_number": "704-862-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N MARIETTA ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280522332",
"telephone_number": "704-862-7540",
"fax_number": "704-862-7677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTON COUNTY DEPARTMENT OF SOCIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOON",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "704-862-7540",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8700031",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408308",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.