Edmary Gaugler, LCSW
Individual provider Active NPI Clinical Social Worker · Atlantic Highlands, NJ
NPI 1821556945 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1821556945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC06089500 (NJ)
- Practice address
- 1041 Highway 36 FL 1
Atlantic Highlands, NJ 07716-2533 - Phone
- (239) 316-5549
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06089500 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical of Ca PC | Past | Accepting new patients | |
| Mental Health Clinic of Passaic Inc | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/mhcp/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06089500 | NJ | Yes |
Addresses
Primary practice location
1041 Highway 36 FL 1
Atlantic Highlands, NJ 07716-2533
Mailing address
1041 Highway 36 FL 1
Atlantic Highlands, NJ 07716-2533
Other practice location 1
124 Gregory Ave Ste 202
Passaic, NJ 07055-4856
Phone (973) 928-7244 ext. 102
Other providers in Atlantic Highlands, NJ
- Nancy C Freeman
- Tess Gagliano
- David Garaffa
- Caroline D. Garner
- Gary J Gawler MD PA
- James Genovese
- Carolyn Marie Gillen
- Harli Goldstein
- Stephanie Gonyea-George
- Andrew Grogan
All providers in Atlantic Highlands, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.