Individual provider Active NPI

Edward Felix Gargala, LCSW

  • Clinical Social Worker
  • Lockport, NY
National Provider Identifier
1861824914
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072307-1 Issued in NY
Practice address
6395 Old Niagara Rd
Lockport, NY 14094-1421
Phone
(716) 433-4487
Fax
(716) 433-3464
NPI assigned
Jul 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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 072307-1 NY Primary

Addresses

Primary practice location

6395 Old Niagara Rd
Lockport, NY 14094-1421

Mailing address

31 Sweethaven CT
Amherst, NY 14228-1881
Phone (716) 433-4487

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
072307-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1861824914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SWEETHAVEN CT",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281881",
            "telephone_number": "716-433-4487",
            "fax_number": "716-433-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 OLD NIAGARA RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941421",
            "telephone_number": "716-433-4487",
            "fax_number": "716-433-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGALA",
        "first_name": "EDWARD",
        "middle_name": "FELIX",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072307-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.