Active NPIIndividual provider

Mr. Gary M De Gasta, LICSW

Social Worker, Clinical in White River Junction, Vermont

NPI Number1528163011
Practice location
215 N Main St, White River Junction, VT 05009-0001
Fax
—
Last updated
July 8, 2007

Gary M. De Gasta is a Social Worker, Clinical based in White River Junction, VT. Gary M. De Gasta practices in White River Junction, VT and has the professional credentials of LICSW. The NPI Number for Gary M. De Gasta is 1528163011 and holds a License No. 100633 (MA). The current practice location address for Gary M. De Gasta is 215 N Main St, White River Junction, VT 05009-0001 and can be reached out via phone at 802-295-9363.

Provider Profile Details

NPI Number
1528163011
Provider Name
Gary M. De Gasta
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
215 N Main St, White River Junction, VT 05009-0001
Phone Number
802-295-9363
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 N Main St
White River Junction, VT 05009-0001
State
Vermont
Zip
05009-0001
Phone Number
802-295-9363
White River Junction, VT 05009Get directions →

Provider Business Mailing Address Details

Address
386 Hawk Pine RD
Norwich, VT 05055-9631
City
Norwich
State
VT
Zip
05055-9631
Phone Number
802-649-3533

License Information

License Number
100633
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gary M De Gasta, LICSW?

The NPI number of Mr. Gary M De Gasta, LICSW is 1528163011. It was assigned on September 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Gary M De Gasta, LICSW?

Mr. Gary M De Gasta, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 100633.

Where does Mr. Gary M De Gasta, LICSW practice?

The practice location is 215 N Main St, White River Junction, VT 05009-0001. The office can be reached at 802-295-9363 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528163011 directly on the NPPES registry website.

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