Individual provider Active NPI

Gail Deborah Shookoff-Moskowitz, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1295581312
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000853 Issued in VA
Practice address
13830 Knights Run Dr
Midlothian, VA 23113-3987
Phone
(804) 484-0792
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 0904000853 VA Primary

Addresses

Primary practice location

13830 Knights Run Dr
Midlothian, VA 23113-3987

Mailing address

13830 Knights Run Dr
Midlothian, VA 23113-3987
Phone (804) 484-0792

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
0904000853VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1295581312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 KNIGHTS RUN DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133987",
            "telephone_number": "804-484-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 KNIGHTS RUN DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133987",
            "telephone_number": "804-484-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOKOFF-MOSKOWITZ",
        "first_name": "GAIL",
        "middle_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.