NPIMap

Individual provider Active NPI

Laura Ann Da Costa Gale, LICSW

  • Clinical Social Worker
  • Amesbury, MA
National Provider Identifier
1730239328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1016658 Issued in MA
Practice address
5 Market SQ
Suite 206
Amesbury, MA 01913-2497
Phone
(978) 388-0606
Fax
(978) 388-0006
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1016658 MA Primary

Addresses

Primary practice location

5 Market SQ
Suite 206
Amesbury, MA 01913-2497

Mailing address

5 Market SQ
Suite 206
Amesbury, MA 01913-2497
Phone (978) 388-0606

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

LicenseStateTypeSpecialty
1016658MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Goldberg LLC Past Accepting new patients

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730239328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARKET SQ",
            "address_2": "SUITE 206",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132497",
            "telephone_number": "978-388-0606",
            "fax_number": "978-388-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARKET SQ",
            "address_2": "SUITE 206",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132497",
            "telephone_number": "978-388-0606",
            "fax_number": "978-388-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "LAURA",
        "middle_name": "ANN DA COSTA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

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.

Verify at the official NPI Registry.