Healthcare Provider Details

I. General information

NPI: 1730809427
Provider Name (Legal Business Name): REBECCA MARIE GOSDIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 COURT SQUARE
GAINESVILLE MO
65655
US

IV. Provider business mailing address

PO BOX 865
GAINESVILLE MO
65655-0865
US

V. Phone/Fax

Practice location:
  • Phone: 417-989-1524
  • Fax:
Mailing address:
  • Phone: 417-712-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026033622
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: