Elizabeth T. Gotwals, MSW,LCSW,ACSW,QCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

CW013617 Issued in PA

Practice address

214 Peach Orchard Road
MC Connellsburg, PA 17233

Phone

(717) 485-6120

Fax

(717) 485-6106

NPI assigned

Nov 30, 2005

Last updated

Aug 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Temple University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fulton Behavioral Health Services PC

  • Social Worker
  • McConnellsburg, PA
  • NPI 1962736934
  Medicare reassignment NPD Authorized official
• Antietam Neurology Center, PA

  • Specialist
  • Hagerstown, MD
  • NPI 1093860553
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1619951183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD ROAD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "17233",
            "telephone_number": "717-485-6120",
            "fax_number": "717-485-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PEACH ORCHARD ROAD",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "17233",
            "telephone_number": "717-485-6120",
            "fax_number": "717-485-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTWALS",
        "first_name": "ELIZABETH",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "MSW,LCSW,ACSW,QCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CWO13617",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "CW013617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulton County Partnership
• Fulton Diagnostic Radiology LLC
• Fulton Diagnostic Radiology, LLC
• Gaudenzia
• Erin Camille Glenn, LSW
• Cody Grace, DO
• Great Cove Integrative Medicine LLC
• Gerald E Gronborg, DPM
• Lavan Harris, CNP
• Deann Laura Hawkins, PT

• Social Worker in McConnellsburg, PA
• Providers in McConnellsburg, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.