Active NPI
Gail Anne Rottman, MSW, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1447677968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006783A
- Practice address
- 1101 N Royal Ave
Suite B
Evansville, IN 47715-7845 - Phone
- (812) 402-0020
- NPI assigned
- Mar 21, 2014
- Last updated
- Aug 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006783A | IN | Primary |
| Clinical Social Worker | 1041C0700X | 3776 | KY |
Addresses
Primary practice location
1101 N Royal Ave
Suite B
Evansville, IN 47715-7845
Mailing address
1101 N Royal Ave
Suite B
Evansville, IN 47715-7845
Phone (812) 402-0020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12664050 | Other | IN | CAQH |
| 000000868246 | Other | ANTHEM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3776 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1447677968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N ROYAL AVE",
"address_2": "SUITE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157845",
"telephone_number": "812-402-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N ROYAL AVE",
"address_2": "SUITE B",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157845",
"telephone_number": "812-402-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTMAN",
"first_name": "GAIL",
"middle_name": "ANNE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006783A",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3776",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12664050",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000868246",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.