Individual provider Active NPI

Barbara Ann Gau, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1689969842
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000253 Issued in NC
Practice address
3604 Shannon Rd
Ste 200
Durham, NC 27707-6343
Phone
(919) 403-2122
Fax
(919) 401-4993
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000253 NC Primary

Addresses

Primary practice location

3604 Shannon Rd
Ste 200
Durham, NC 27707-6343

Mailing address

1403 Foxboro CT
Ste 103
Chapel Hill, NC 27516-7656
Phone (919) 967-2632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20110725000638 NC Practitioner - Clinical Social Worker 3971771692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

112 Swift Ave
Durham, NC 27705-4883
Phone (919) 967-2632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C000253NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Counseling and Life Coaching PLLC Clinical CurrentSince Oct 1, 2015 Accepting new patients
Mindpath Care Centers, North Carolina, PLLC Clinical PastSince Aug 15, 2004 Accepting new patients

Locations

112 Swift Ave
Durham, NC 27705
Phone (919) 416-9656

Organizations & group practices 2

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1689969842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOXBORO CT",
            "address_2": "STE 103",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167656",
            "telephone_number": "919-967-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 SHANNON RD",
            "address_2": "STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076343",
            "telephone_number": "919-403-2122",
            "fax_number": "919-401-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAU",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.