Rudolph Gawlik, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05483 Issued in MD

Practice address

7307 Baltimore Ave
Suite 208
College Park, MD 20740-3231

Phone

(301) 277-3250

NPI assigned

Jun 23, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maryland Institute for Individual & Family Therapy

  • Clinical Psychologist
  • College Park, MD
  • NPI 1124204854
  NPD (past)

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578769873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 CREST AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852932",
            "telephone_number": "301-773-0657",
            "fax_number": "301-773-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 BALTIMORE AVE",
            "address_2": "SUITE 208",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403231",
            "telephone_number": "301-277-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWLIK",
        "first_name": "RUDOLPH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Korbly-Canter, R.Ac.PC
• Shiri Julienne Fru
• Heather Gambacorto
• Rene Gamez
• Lauren Rachel Garcia, MS, RDN, LDN
• Ashley Lynn Gayles
• Gitanjali Ghosh, DDS
• Gibbs Place, LLC
• Simone Gillon-Wright, PSY.D.
• Dan Glaser, MD

• Clinical Social Worker in College Park, MD
• Providers in College Park, MD by specialty
• Clinical Social Worker in Maryland

• 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.

Verify at the official NPI Registry.