Active NPI
Tamala Gdowski, LISW
- Clinical Social Worker
- Athens, OH
National Provider Identifier
1487955720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1.1000261
- Practice address
- 90 Hospital Dr
Athens, OH 45701-2301 - Phone
- (740) 593-3682
- Fax
- (740) 594-5642
- NPI assigned
- Nov 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 1.1000261 | OH | Primary |
Addresses
Primary practice location
90 Hospital Dr
Athens, OH 45701-2301
Mailing address
90 Hospital Dr
Athens, OH 45701-2301
Phone (740) 593-3682
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1.1000261 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1487955720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012301",
"telephone_number": "740-593-3682",
"fax_number": "740-594-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012301",
"telephone_number": "740-593-3682",
"fax_number": "740-594-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GDOWSKI",
"first_name": "TAMALA",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "1.1000261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.