Bert Dennis Gunn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000862 Issued in CT

Practice address

18 Bedlam Rd
Chaplin, CT 06235-2324

Phone

(860) 455-9203

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083728927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BEDLAM RD",
            "city": "CHAPLIN",
            "state": "CT",
            "postal_code": "062352324",
            "telephone_number": "860-455-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BEDLAM RD",
            "city": "CHAPLIN",
            "state": "CT",
            "postal_code": "062352324",
            "telephone_number": "860-455-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "BERT",
        "middle_name": "DENNIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Authentic Balance Consortium LLC
• Kelsey Ann Mahoney Butcka
• Chaplin Public Schools
• Elizabeth H Flanagan, PH.D.
• Interior Castle Counseling, LLC
• Joyce M Johnson, MSW
• Carl Warren Lindquist, M.D.
• Michael Louis Luongo, LPC, LMHC
• Jara J Messere, LCSW

• Clinical Social Worker in Chaplin, CT
• Providers in Chaplin, CT by specialty
• Clinical Social Worker in Connecticut

• 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.