Individual provider Active NPI

Douglas Lee Gotel, MSW, LICSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1861771479
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC50078782 Issued in DC
Practice address
50 E St SE
Ste. 300
Washington, DC 20003-2620
Phone
(202) 430-5461
NPI assigned
Aug 12, 2011
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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 LC50078782 DC Primary

Addresses

Primary practice location

50 E St SE
Ste. 300
Washington, DC 20003-2620

Mailing address

5207 Jay St NE
Washington, DC 20019-5529
Phone (202) 430-5461

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

LicenseStateTypeSpecialty
LC50078782DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gotel & Thrive Clinical Current Accepting new patients

Locations

50 E St SE
Ste 300
Washington, DC 20003
Phone (202) 342-9287

Organizations & group practices 1

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": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1861771479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 JAY ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195529",
            "telephone_number": "202-430-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E ST SE",
            "address_2": "STE. 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032620",
            "telephone_number": "202-430-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTEL",
        "first_name": "DOUGLAS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.