Active NPI
William Gawlak, LCSW
- Social Worker
- Salem, MA
National Provider Identifier
1497212740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 553518
- Practice address
- 81 Highland Ave
Salem, MA 01970-2768 - Phone
- (978) 825-4540
- Fax
- (978) 354-4482
- NPI assigned
- Feb 22, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 553518 | MA | Primary |
Addresses
Primary practice location
81 Highland Ave
Salem, MA 01970-2768
Mailing address
81 Highland Ave
Salem, MA 01970-2768
Phone (978) 825-4540
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 |
|---|---|---|---|
| 553518 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1497212740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702768",
"telephone_number": "978-825-4540",
"fax_number": "978-354-4482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702768",
"telephone_number": "978-825-4540",
"fax_number": "978-354-4482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWLAK",
"first_name": "WILLIAM",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "MA",
"license": "553518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.