MS. JANE B GOTSHALK (NPI# 1174731509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174731509 |
Entity Type | Individual |
Full Name | MS. JANE B GOTSHALK |
Credential | LICSW |
Practice Address |
109 Courage Loop Fort Stewart GA 31315-5906 |
Practice Telephone | 7063159407 |
Mailing Telephone | 7063159407 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2012-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
113296 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 1309587 | 05 |
Street Address |
109 COURAGE LOOP |
City | FORT STEWART |
State | GA |
Zip Code | 31315-5906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588188791 | Nadia E Jeter | Social Worker | 140 Skyland Spruce Dr, Fort Stewart, GA 31315 | 2017-07-29 |
1740739358 | Graham Taylor | Physician Assistant | 8435 Vanguard Rd., Fort Stewart, GA 31315 | 2016-09-23 |
1205289865 | Glenda Ann Reed-withers | Dental Hygienist | 343 Warrior Road Building 2115, Fort Stewart, GA 31315 | 2016-07-19 |
1275940686 | Tarhonda Leah Ingram | Dentist | 112 Vilseck Road, Bldg. 419-2, Ft. Stewart, GA 31315 | 2014-07-17 |
1053668830 | Lee Joshua Martin | Dentist | 112 Vilseck Rd, Fort Stewart, GA 31315 | 2012-08-10 |
1497866248 | Henry J Braner | Physician Assistant | 16th Street Building 13514, Youth Challange Academy, Ft Stewart, GA 31315 | 2006-08-31 |
1215981352 | Harry Nick Bobotis | Dentist | 112 Vilseck Road, Bldg 419-2, Fort Stewart, GA 31315 | 2006-05-22 |
1033665393 | Christopher David Johnson | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2016-08-28 |
1760886410 | Juliann Roman | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2014-10-09 |
1760754485 | Angelica Cecilia Kjonnerod | Physician Assistant | 192 Lindquist Road, Bldg 412, Fort Stewart, GA 31315 | 2012-01-27 |
Find all providers in zip 31315 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336543867 | Giovanni Aquilla Bass | Social Worker | 1601 Harmon Ave., Fort Stewart, GA 31324 | 2014-10-13 |
1730437278 | Melyssa Newman | Social Worker | 1061 Harmon Ave Ste Id03g, Fort Stewart, GA 31314-5641 | 2012-08-15 |
1568650257 | Mercedes S. Byrd | Social Worker | 1061 Harmon Ave Ste 2nw43, Fort Stewart, GA 31314 | 2007-10-09 |
1285724666 | Kevin Ricks Stevenson | Social Worker | 1061 Harmon Avenue Building 311, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2006-10-13 |
1083660955 | Cynthia A. Spells | Social Worker | 1061 Harmon Ave Ste 1003, Fort Stewart, GA 31314-5641 | 2006-05-25 |
1013907898 | Ronald James Whalen | Social Worker | Bldg 920, Fort Stewart, GA 31314 | 2005-10-24 |
1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
1275142762 | Sonya Cotton | Social Worker | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31313 | 2020-07-30 |
1164071627 | Deborah Christine Woodard | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-09-08 |
1164987830 | Ronald Walter Koji | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-02-06 |
Find all providers in FORT STEWART |
City | FORT STEWART |
Zip Code | 31315 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.