Individual provider Active NPI

Jeffrey William Gosney, PHD, LCSW, ICAADC

  • Clinical Social Worker
  • Harlingen, TX
National Provider Identifier
1720300486
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002193 Issued in MO
Practice address
9501 W Business 83 Lot 812
Harlingen, TX 78552-2338
Phone
(956) 778-5460
NPI assigned
Feb 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 205276 MO
Addiction (Substance Use Disorder) Counselor 101YA0400X 501699 MO
Addiction (Substance Use Disorder) Counselor 101YA0400X 138 MO
Clinical Social Worker 1041C0700X 52026 TX
Clinical Social Worker 1041C0700X 002193 MO Primary

Addresses

Primary practice location

9501 W Business 83 Lot 812
Harlingen, TX 78552-2338

Mailing address

9501 W Business 83 Lot 812
Harlingen, TX 78552-2338
Phone (956) 778-5460

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
138MOMDAddiction (Substance Use Disorder) Counselor
205276MOMDAddiction (Substance Use Disorder) Counselor
501699MOMDAddiction (Substance Use Disorder) Counselor
002193MOMDClinical Social Worker
52026TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1720300486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 W BUSINESS 83 LOT 812",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785522338",
            "telephone_number": "956-778-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 W BUSINESS 83 LOT 812",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785522338",
            "telephone_number": "956-778-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNEY",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, ICAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "205276",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "501699",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "138",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52026",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.