MS. JANE B GOTSHALK


Address: 109 Courage Loop, Fort Stewart, GA 31315-5906
Phone: 7063159407

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
113296 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 1309587 05

Office Location

Street Address 109 COURAGE LOOP
City FORT STEWART
State GA
Zip Code 31315-5906

Providers in the same zip code

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City FORT STEWART
Zip Code 31315

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Dataset Information

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.

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