Keith Terence Gostel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002481 Issued in VA

Practice address

3601 Locust CT
Quinton, VA 23141-1577

Phone

(804) 932-8170

Fax

(804) 520-8007

NPI assigned

Jun 13, 2014

Last updated

Jun 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1982018354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 LOCUST CT",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411577",
            "telephone_number": "804-932-8170",
            "fax_number": "804-520-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 LOCUST CT",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411577",
            "telephone_number": "804-932-8170",
            "fax_number": "804-520-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSTEL",
        "first_name": "KEITH",
        "middle_name": "TERENCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Quinton, VA
• Providers in Quinton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.