Individual provider Active NPI

Patricia Lynn Gunn, LMSW

  • Clinical Social Worker
  • Kingwood, TX
National Provider Identifier
1154079952
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044
Phone
(281) 608-1346
Fax
(832) 436-1648
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104957 TX
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044

Mailing address

959 Oak Lynn Dr
Willis, TX 77378-5771
Phone (936) 444-7758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240402004346 TX Practitioner - Clinical Social Worker 0143597252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

8665 New Trails Dr
Suite 185
The Woodlands, TX 77381-4272
Phone (346) 206-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104957TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Resilience Center of Houston, LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
Hope Healing and Recovery Therapy Services LLC PastSince Mar 1, 2017 Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

13333 Dotson Rd
Ste 160
Houston, TX 77070
Phone (631) 295-6516

8665 New Trails Dr
Ste 185
The Woodlands, TX 77381

Organizations & group practices 2

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1154079952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 OAK LYNN DR",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773785771",
            "telephone_number": "936-444-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392044",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104957",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.