Active NPI
Angela M Gehret, LISW
- Social Worker
- Troy, OH
National Provider Identifier
1548497092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I0700430-SUPV
- Practice address
- 3130 N Dixie Hwy
Troy, OH 45373-1337 - Phone
- (937) 440-7001
- Fax
- (937) 440-7076
- NPI assigned
- Jun 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | I0700430-SUPV | OH | Primary |
Addresses
Primary practice location
3130 N Dixie Hwy
Troy, OH 45373-1337
Mailing address
3130 N Dixie Hwy
Troy, OH 45373-1337
Phone (937) 440-7001
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 |
|---|---|---|---|
| I0700430-SUPV | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darke County Mental Health Clinic, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenville, OH
- NPI 1811920697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244678400000",
"number": "1548497092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 N DIXIE HWY",
"city": "TROY",
"state": "OH",
"postal_code": "453731337",
"telephone_number": "937-440-7001",
"fax_number": "937-440-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 N DIXIE HWY",
"city": "TROY",
"state": "OH",
"postal_code": "453731337",
"telephone_number": "937-440-7001",
"fax_number": "937-440-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHRET",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2009-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I0700430-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.