Active NPI
Paul L Gaston, LISW
- Social Worker
- Saint Paul, MN
National Provider Identifier
1649578162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2967
- Practice address
- 3925 Woodview CT
Saint Paul, MN 55127-4111 - Phone
- (612) 799-0498
- NPI assigned
- Mar 8, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2967 | MN | Primary |
Addresses
Primary practice location
3925 Woodview CT
Saint Paul, MN 55127-4111
Mailing address
220 Robert St S
Suite 200
Saint Paul, MN 55107-1677
Phone (651) 222-6567
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 |
|---|---|---|---|
| 2967 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1649578162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ROBERT ST S",
"address_2": "SUITE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551071677",
"telephone_number": "651-222-6567",
"fax_number": "651-222-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 WOODVIEW CT",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551274111",
"telephone_number": "612-799-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTON",
"first_name": "PAUL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "2967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.