Active NPI
Adam Joseph Gaubinger, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1811556764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 134753
- Practice address
- 230 S Broad St Ste 1903
Philadelphia, PA 19102-4121 - Phone
- (413) 961-9046
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 134753 | PA | Primary |
Addresses
Primary practice location
230 S Broad St Ste 1903
Philadelphia, PA 19102-4121
Mailing address
230 S Broad St Ste 1903
Philadelphia, PA 19102-4121
Phone (413) 961-9046
Other practice location 1
1500 Walnut St Ste 300
Philadelphia, PA 19102-3502
Phone (215) 563-7863
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 |
|---|---|---|---|
| 134753 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1811556764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S BROAD ST STE 1903",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024121",
"telephone_number": "413-961-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S BROAD ST STE 1903",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024121",
"telephone_number": "413-961-9046"
}
],
"practiceLocations": [
{
"address_1": "1500 Walnut St Ste 300",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191023502",
"country_code": "US",
"telephone_number": "215-563-7863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAUBINGER",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "134753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.