Active NPI
Corey Gabowitz, LICSW
- Clinical Social Worker
- Westborough, MA
National Provider Identifier
1760517510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110450
- Practice address
- 288 Lymann Street
Westborough State Hospital
Westborough, MA 01581-0288 - Phone
- (508) 616-2371
- NPI assigned
- Feb 22, 2007
- Last updated
- Feb 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110450 | MA | Primary |
| Clinical Social Worker | 1041C0700X | ISW01370 | RI |
Addresses
Primary practice location
288 Lymann Street
Westborough State Hospital
Westborough, MA 01581-0288
Mailing address
288 Lyman Street
Westborough State Hospital
Westborough, MA 01581-0288
Phone (508) 616-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10320 | Other | MA | BCBS |
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 |
|---|---|---|---|
| 110450 | MA | MD | Clinical Social Worker |
| ISW01370 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1760517510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 LYMAN STREET",
"address_2": "WESTBOROUGH STATE HOSPITAL",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015810288",
"telephone_number": "508-616-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 LYMANN STREET",
"address_2": "WESTBOROUGH STATE HOSPITAL",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015810288",
"telephone_number": "508-616-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABOWITZ",
"first_name": "COREY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "110450",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW01370",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P10320",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.