Active NPI
Gary M. De Gasta, LICSW
- Clinical Social Worker
- White River Junction, VT
National Provider Identifier
1528163011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 100633
- Practice address
- 215 N Main St
White River Junction, VT 05009-0001 - Phone
- (802) 295-9363
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 100633 | MA | Primary |
Addresses
Primary practice location
215 N Main St
White River Junction, VT 05009-0001
Mailing address
386 Hawk Pine Rd
Norwich, VT 05055-9631
Phone (802) 649-3533
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 |
|---|---|---|---|
| 100633 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528163011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 HAWK PINE RD",
"city": "NORWICH",
"state": "VT",
"postal_code": "050559631",
"telephone_number": "802-649-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N MAIN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050090001",
"telephone_number": "802-295-9363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GASTA",
"first_name": "GARY",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "100633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White River Junction, VT
- Dartmouth Health Home Care, Inc. (Visiting Nurse Association and Hospice of VT and NH, Inc)
- Dartmouth Health Home Care, Inc.
- Dartmouth Health Home Care, Inc. (VNH-Visiting Nurse and Hospice for Vermont and New Hampshire)
- Dartmouth Health Home Care, Inc. (VNH-Visiting Nurse and Hospice of Vermont and New Hampshire)
- Julie S Davis, M.D.
- Sara Degennaro, MA, LCMHC, LADC,CCS
- Katherine E Demers, LMFT
- Lindsay Ann Demuth, PSY.D.
- Department of Veteran Affairs
- Department of Veterans Affairs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.