Mary Kay Gordon-Brunner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-33403 Issued in ID

Practice address

314 Badiola St
Caldwell, ID 83605-4389

Phone

(702) 589-4871

NPI assigned

Jul 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as group

Quality

67.72

Promoting interoperability

98

Improvement activities

40

Cost

63.78

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Totius Therapies Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caldwell, ID
  • NPI 1083126023
  NPD
• Behavioral Health Solutions of Idaho

  • Psychiatry Physician
  • Boise, ID
  • NPI 1164286092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1003593914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836440264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 BADIOLA ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054389",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-BRUNNER",
        "first_name": "MARY KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-33403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kay Goldston, LCSW
• Nicholas William Gonzales
• Tiffanie Gonzales, OTR/L
• Good Works LLC
• Justin Dwight Goodrich, PHARMD
• Artoun Gostantian
• Joshua Paul Goyden, PA-C
• Grace at Caldwell LLC
• Grande Ronde Hospital, Inc
• Hailey Kim Thu Graviet, MD

• Clinical Social Worker in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.