Individual provider Active NPI

Rosemary Jane Gould, LICSW, LCSW-C, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1871560466
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC303338 Issued in DC
Practice address
1930 New Hampshire Ave NW
Apt 43
Washington, DC 20009-3371
Phone
(202) 333-9388
Fax
(202) 333-9388
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC303338 DC Primary
Clinical Social Worker 1041C0700X 0904005108 VA
Clinical Social Worker 1041C0700X 10553 MD

Addresses

Primary practice location

1930 New Hampshire Ave NW
Apt 43
Washington, DC 20009-3371

Mailing address

1930 New Hampshire Ave NW
Apt 43
Washington, DC 20009-3371
Phone (202) 333-9388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050803001210 DC Practitioner - Clinical Social Worker 5799713376 Practice locations: Alexandria, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2312 Mount Vernon Ave
Suite 203
Alexandria, VA 22301-1375
Phone (202) 321-1057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10553MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Creek Foundation PastSince Jul 3, 2022 Accepting new patients
Affiliated Sante Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1871560466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 NEW HAMPSHIRE AVE NW",
            "address_2": "APT 43",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093371",
            "telephone_number": "202-333-9388",
            "fax_number": "202-333-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NEW HAMPSHIRE AVE NW",
            "address_2": "APT 43",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093371",
            "telephone_number": "202-333-9388",
            "fax_number": "202-333-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "ROSEMARY",
        "middle_name": "JANE",
        "credential": "LICSW, LCSW-C, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303338",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005108",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "10553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.