Provider Demographics
NPI:1972706687
Name:GAUL, JOCELYN PAGANA (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:PAGANA
Last Name:GAUL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10115 CRESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-4245
Mailing Address - Country:US
Mailing Address - Phone:301-571-5178
Mailing Address - Fax:
Practice Address - Street 1:5942 HUBBARD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4824
Practice Address - Country:US
Practice Address - Phone:310-230-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical