Individual provider Active NPI

Douglas C Gorospe, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1831129667
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0003223 Issued in FL
Practice address
524 Skymarks Dr
Unit 5
Jacksonville, FL 32218-7254
Phone
(904) 376-3800
Fax
(904) 423-1150
NPI assigned
Jul 4, 2006
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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 SW0003223 FL Primary

Addresses

Primary practice location

524 Skymarks Dr
Unit 5
Jacksonville, FL 32218-7254

Mailing address

PO Box 44230
Jacksonville, FL 32231-4230
Phone (904) 376-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20111031000586 FL Practitioner - Clinical Social Worker 4587837984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gauler and Associates, LLCGroup PAC ID 6901046945, 5 clinicians

Practice addresses (Care Compare)

1540 Kingsley Ave
Orange Park, FL 32073-4511
Phone (904) 239-3677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0003223FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gauler & Associates, PLLC CurrentSince Sep 3, 2018 Accepting new patients
Southern Baptist Hospital of Florida Inc PastSince Sep 1, 2014 Accepting new patients

Locations

13111 Atlantic Blvd
Unit 2
Jacksonville, FL 32225
Phone (904) 239-3677

6950 Philips Hwy
Ste 11
Jacksonville, FL 32216
Phone (904) 239-3677

1540 Kingsley Ave
Orange Park, FL 32073
Phone (904) 239-3677

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1831129667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44230",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314230",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SKYMARKS DR",
            "address_2": "UNIT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187254",
            "telephone_number": "904-376-3800",
            "fax_number": "904-423-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSPE",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0003223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.