Active NPI
Virginia (Ginger) Silloway Gummelt, PHD, LCSW
- Clinical Social Worker
- Beaumont, TX
National Provider Identifier
1164092789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 52116
- Practice address
- 1535 Infinity LN
Beaumont, TX 77706-3415 - Phone
- (409) 790-3337
- NPI assigned
- Jun 27, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 52116 | TX | Primary |
Addresses
Primary practice location
1535 Infinity LN
Beaumont, TX 77706-3415
Mailing address
1535 Infinity LN
Beaumont, TX 77706-3415
Phone (409) 790-3337
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52116 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624752000000",
"number": "1164092789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 INFINITY LN",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063415",
"telephone_number": "409-790-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 INFINITY LN",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063415",
"telephone_number": "409-790-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMMELT",
"first_name": "VIRGINIA (GINGER)",
"middle_name": "SILLOWAY",
"name_prefix": "Dr.",
"credential": "PHD, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-27",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "52116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.