Donald R Gatwood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001564A Issued in IN

Practice address

611 E Main St Ste 110
Petersburg, IN 47567-1270

Phone

(812) 354-8785

Fax

(812) 354-8786

NPI assigned

Oct 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1174031256

  IN

  Medicare reassignment NPD
• Good Samaritan Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1063302545
  NPD
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1033827621
  NPD (past)
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Loogootee, IN
  • NPI 1124736715
  NPD (past)
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1518676907
  NPD (past)
• Good Samaritan Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1629787767
  NPD (past)
• Good Samaritan Family Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vincennes, IN
  • NPI 1679282164
  NPD (past)
• Good Samaritan Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Petersburg, IN
  • NPI 1780392373
  NPD (past)

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1780937987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910556",
            "telephone_number": "812-494-9501",
            "fax_number": "812-494-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST STE 110",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475671270",
            "telephone_number": "812-354-8785",
            "fax_number": "812-354-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 State St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475018505",
            "country_code": "US",
            "telephone_number": "812-254-1558",
            "fax_number": "812-254-8308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATWOOD",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001564A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Lee Dunigan, D.M.D.
• Dycora Transitional Health - Petersburg LLC
• Laryn Faulk
• Honesto K Fenol Jr., MD
• Heather Furniss, MPT
• Good Samaritan Family Health Center, Inc
• Good Samaritan Family Health Center, Inc
• Good Samaritan Family Health Center, Inc.
• Good Samaritan Hospital
• Good Samaritan Hospital

• All providers in Petersburg, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.