Active NPI
Kassie Patricia Gunnoe, LGSW
- School Social Worker
- Oak Hill, WV
National Provider Identifier
1073345930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- BP00946937
- Practice address
- 350 W Oyler Ave
Oak Hill, WV 25901-2176 - Phone
- (304) 469-2905
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | BP00946937 | WV | Primary |
Addresses
Primary practice location
350 W Oyler Ave
Oak Hill, WV 25901-2176
Mailing address
497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00946937 | WV | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Health Association, Inc. | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Fayetteville, WV
- NPI 1003301912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1073345930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 MALL RD",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259016216",
"telephone_number": "304-469-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W OYLER AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012176",
"telephone_number": "304-469-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNOE",
"first_name": "KASSIE",
"middle_name": "PATRICIA",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WV",
"license": "BP00946937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.