Individual provider Active NPI

Uniesia Kendra Gay

  • Clinical Social Worker
  • Hesperia, CA
National Provider Identifier
1063096816
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
16501 Walnut St Ste 12
Hesperia, CA 92345-3684
Phone
(760) 508-4571
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CA Primary

Addresses

Primary practice location

16501 Walnut St Ste 12
Hesperia, CA 92345-3684

Mailing address

PO Box 2777
Apple Valley, CA 92307-0053
Phone (760) 508-4571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314001620 CA Practitioner - Clinical Social Worker 1153716956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22025 Otoe Rd
Apple Valley, CA 92307-1857
Phone (702) 899-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101463CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Grit Mental Health LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

13782 Bear Valley Rd
Ste D3296
Victorville, CA 92392
Phone (702) 899-1950

187 E Warm Springs Rd
Ste B157
Las Vegas, NV 89119
Phone (702) 899-1950

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1063096816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2777",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070053",
            "telephone_number": "760-508-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 WALNUT ST STE 12",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453684",
            "telephone_number": "760-508-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "UNIESIA",
        "middle_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.