Active NPI
Jody M Gawel, LCSW-C
- Clinical Social Worker
- Princess Anne, MD
National Provider Identifier
1376925396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 17747
- Practice address
- 30397 Mount Vernon Rd
Princess Anne, MD 21853-1438 - Phone
- (410) 677-4334
- Fax
- (410) 677-4265
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 17747 | MD | Primary |
Addresses
Primary practice location
30397 Mount Vernon Rd
Princess Anne, MD 21853-1438
Mailing address
30397 Mount Vernon Rd
P. O. Box 369
Princess Anne, MD 21853-1438
Phone (410) 677-4334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17747 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1376925396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30397 MOUNT VERNON RD",
"address_2": "P. O. BOX 369",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531438",
"telephone_number": "410-677-4334",
"fax_number": "410-677-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30397 MOUNT VERNON RD",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531438",
"telephone_number": "410-677-4334",
"fax_number": "410-677-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWEL",
"first_name": "JODY",
"middle_name": "M",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "17747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princess Anne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.