Active NPI
Jennie Gosche, LCSW-C
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1609958933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 05030
- Practice address
- 11215 Oak Leaf Dr
Suite 108
Silver Spring, MD 20901-1317 - Phone
- (301) 593-1315
- Fax
- (301) 681-4699
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 05030 | MD | Primary |
Addresses
Primary practice location
11215 Oak Leaf Dr
Suite 108
Silver Spring, MD 20901-1317
Mailing address
11215 Oak Leaf Dr
Suite 108
Silver Spring, MD 20901-1317
Phone (301) 593-1315
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Clinical | Past | Accepting new patients |
Interoperability endpoints
- jennie.gosche.p3@direct.mcg-hhs.nextgenshare.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609958933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 OAK LEAF DR",
"address_2": "SUITE 108",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011317",
"telephone_number": "301-593-1315",
"fax_number": "301-681-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 OAK LEAF DR",
"address_2": "SUITE 108",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011317",
"telephone_number": "301-593-1315",
"fax_number": "301-681-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSCHE",
"first_name": "JENNIE",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "05030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
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.