Individual provider Active NPI

Gail Joann Weissert, MSW LCSW

  • Social Worker
  • Denton, MD
National Provider Identifier
1841261781
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
02976 Issued in MD
Practice address
23627 Willow Pond Rd
Denton, MD 21629-2104
Phone
(410) 479-0434
Fax
(410) 479-2723
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 02976 MD Primary

Addresses

Primary practice location

23627 Willow Pond Rd
Denton, MD 21629-2104

Mailing address

23627 Willow Pond Rd
Denton, MD 21629-2104
Phone (410) 479-0434

Other identifiers 1

IdentifierTypeStateIssuer
303241800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101220001100 MD Practitioner - Clinical Social Worker 9638367592 Practice locations: Denton, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23627 Willow Pond Rd
Denton, MD 21629-2104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02976MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1841261781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23627 WILLOW POND RD",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216292104",
            "telephone_number": "410-479-0434",
            "fax_number": "410-479-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23627 WILLOW POND RD",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216292104",
            "telephone_number": "410-479-0434",
            "fax_number": "410-479-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSERT",
        "first_name": "GAIL",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "02976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303241800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

Verify at the official NPI Registry.