Individual provider Active NPI

Debra E Gauley, MSW

  • Social Worker
  • Sagamore Beach, MA
National Provider Identifier
1427873256
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW2028836 Issued in MA
Practice address
345 Old Plymouth Rd
Sagamore Beach, MA 02562-2304
Phone
(508) 333-1375
NPI assigned
Nov 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW2028836 MA Primary

Addresses

Primary practice location

345 Old Plymouth Rd
Sagamore Beach, MA 02562-2304

Mailing address

23 Palmer LN
South Dennis, MA 02660-2027
Phone (781) 690-6981

Other practice location 1

258 Main St Ste C3
Buzzards Bay, MA 02532-3253
Phone (508) 333-1375

Other practice location 2

114 State Rd
Sagamore Beach, MA 02562-2317
Phone (508) 333-1375

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
LCSW2028836MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sagamore Counseling CurrentSince Jan 16, 2024 Accepting new patients

Locations

258 Main St
Ste C3
Buzzards Bay, MA 02532
Phone (508) 333-1375

345 Old Plymouth Rd
Sagamore Beach, MA 02562
Phone (508) 333-1375

114 State Rd
Sagamore Beach, MA 02562
Phone (508) 333-1375

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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1427873256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PALMER LN",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602027",
            "telephone_number": "781-690-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 OLD PLYMOUTH RD",
            "city": "SAGAMORE BEACH",
            "state": "MA",
            "postal_code": "025622304",
            "telephone_number": "508-333-1375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "258 Main St Ste C3",
            "address_purpose": "LOCATION",
            "city": "Buzzards Bay",
            "state": "MA",
            "postal_code": "025323253",
            "country_code": "US",
            "telephone_number": "508-333-1375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 State Rd",
            "address_purpose": "LOCATION",
            "city": "Sagamore Beach",
            "state": "MA",
            "postal_code": "025622317",
            "country_code": "US",
            "telephone_number": "508-333-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAULEY",
        "first_name": "DEBRA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW2028836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sagamore Beach, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.