Gary P. Cournoyer, L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00061 Issued in RI

Practice address

342 Broadway
Newport, RI 02840-1736

Phone

(401) 842-1158

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1043382732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RIPTIDE ST",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028352527",
            "telephone_number": "401-842-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401736",
            "telephone_number": "401-842-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURNOYER",
        "first_name": "GARY",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.I. BLUE CROSS",
            "identifier": "3860-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.I. INDEP. SOC. WORKER",
            "identifier": "ISW00061",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Thomas Corbett, DMD
• Brian William Cornell, DPM
• Alexia Costa
• John Robert Costello, D.M.D.
• Danielle Renee Coulter, D.C.
• David Eugene Cox, ATC
• Colton Cranson
• Albert Cuaresma, IDC
• Christopher John Cunningham, PSY.D.
• Stephen F Currier, LICSW

• Clinical Social Worker in Newport, RI
• Providers in Newport, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.