Individual provider Active NPI

Gale Ann Alwill, LCSW

  • Clinical Social Worker
  • Metuchen, NJ
National Provider Identifier
1790851533
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-059463 Issued in NY
Practice address
402 Main St Ste 214
Metuchen, NJ 08840-1846
Phone
(917) 699-8939
Fax
(848) 260-0772
NPI assigned
Nov 24, 2006
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 R-059463 NY Primary

Addresses

Primary practice location

402 Main St Ste 214
Metuchen, NJ 08840-1846

Mailing address

262 W Maple Ave
Bound Brook, NJ 08805-1333
Phone (646) 739-9580

Other practice location 1

14 Slosson Ter
Staten Island, NY 10301-2507
Phone (646) 739-9580

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-059463NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Apothecary Inc Past Accepting new patients
Project Hospitality Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1790851533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 W MAPLE AVE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051333",
            "telephone_number": "646-739-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST STE 214",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401846",
            "telephone_number": "917-699-8939",
            "fax_number": "848-260-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Slosson Ter",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103012507",
            "country_code": "US",
            "telephone_number": "646-739-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALWILL",
        "first_name": "GALE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-059463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.