Gail Elizabeth Atwater I, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

57693 Issued in TX

Practice address

4054 McKinney Ave
Suite 102
Dallas, TX 75204-8212

Phone

(214) 520-6308

Fax

(214) 521-9172

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Counseling Center IncGroup PAC ID 7416931829, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Counseling Center Inc

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1770510075

  TX

  Medicare reassignment Care Compare group NPD
• Gail Atwater

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1548133382
  NPD Authorized official

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1477975407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 MCKINNEY AVE",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048212",
            "telephone_number": "214-520-6308",
            "fax_number": "214-521-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 MCKINNEY AVE",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048212",
            "telephone_number": "214-520-6308",
            "fax_number": "214-521-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWATER",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "name_suffix": "I",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "57693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Attachment Lab Counseling PLLC
• Eman N Attaya, M.D.
• Shannon Attebery, COTA
• Lauren M Attiah, LPC
• Atul K Singhal MD Facr
• Christina Atwood, L.M.T., CPT
• Emily Rose Atwood, PA
• Kathryn Atwood, PA
• Michael Andrew Atwood, MD
• Nina Atwood, M.ED., LPC

• All providers in Dallas, TX
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.