Gary L Drake

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY1429 Issued in KY

Practice address

239 Mt Parkway Spur
Campton, KY 41301-0309

Phone

(606) 688-6932

Fax

(606) 668-3125

NPI assigned

Aug 30, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Quality Care Consultants

  • Pain Medicine (Anesthesiology) Physician
  • Campton, KY
  • NPI 1891928958
  NPD (past)
• United Clinics of Kentucky LLC

  dba United Clinics West Liberty

  • Rural Health Clinic/Center
  • West Liberty, KY
  • NPI 1356907224
  NPD (past)
• United Clinics of Kentucky LLC

  dba United Clinics Jackson

  • Rural Health Clinic/Center
  • Jackson, KY
  • NPI 1386425684
  NPD (past)
• United Clinics of Kentucky LLC

  dba United Clinics Winchester

  • Rural Health Clinic/Center
  • Winchester, KY
  • NPI 1639908775
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073506556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "502-212-4759",
            "fax_number": "502-471-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MT PARKWAY SPUR",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413010309",
            "telephone_number": "606-688-6932",
            "fax_number": "606-668-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY1429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8200089400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dee M Cole, LCSW
• Rachel Marie Combs, C.S.W.
• County of Wolfe (Wolfe County EMS)
• Angela Crase
• Pamela Sue Dale, APRN
• East Kentucky Psychiatric Care, LLC
• First Step Provider
• Aeriel Frederick, APRN
• Courtney Jane Hall
• Kaidence Harris, RBT

• Clinical Social Worker in Campton, KY
• Providers in Campton, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.