Self Employed

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SELF EMPLOYED

Practice address

6 Potter Hill Rd
Gilford, NH 03249-6802

Phone

(603) 387-6636

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Edith Gault, LICSWNPI 1902062979

Title

Clinician

Phone

(603) 387-6636

Specialties & licenses 1

Addresses

Other names 1

• Self employed Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edith J Gault, LICSW

  • Social Worker
  • Laconia, NH
  • NPI 1902062979
  NPD Authorized official

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1811677149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471604",
            "telephone_number": "603-387-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POTTER HILL RD",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496802",
            "telephone_number": "603-387-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF EMPLOYED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "GAULT",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "603-387-6636",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self employed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savida Health, PC
• Alina Schmidt, RD, LDN
• Troy Allen Schrupp, DDS
• Douglas R Scott, MD
• Pam Seed, SLP
• Tajammul Shafique, MD
• Shaws Supermarkets Inc
• Prabhkar K Shetty, M.D.
• Lisa Gonzalez Singh, DMD
• Timothy Smith, DMD

• Clinical Social Worker in Gilford, NH
• Providers in Gilford, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.