Nola Glenora Gum, MSW, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CP00943432 Issued in WV

Practice address

205 Center St
Princeton, WV 24740-2931

Phone

(304) 431-2424

Fax

(304) 431-3443

NPI assigned

Apr 2, 2014

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184042657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CENTER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402931",
            "telephone_number": "304-431-2424",
            "fax_number": "304-431-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CENTER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402931",
            "telephone_number": "304-431-2424",
            "fax_number": "304-431-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 12th Street Ext",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402329",
            "country_code": "US",
            "telephone_number": "304-425-9541",
            "fax_number": "304-487-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUM",
        "first_name": "NOLA",
        "middle_name": "GLENORA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "CP00943432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023441001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Groves, APRN,FNP-BC
• Nathaniel Micah Grubidge
• Dulio W Guarnieri, MD
• Nichole Amber Gullett
• Emma Gum
• Kasey Leeann Gunnoe
• Marcia Gurganus, R.PH.
• Aliyah Gwinn
• Meredith Kay Gwinn
• Marshal T Gwynn, DPM

• Counselor in Princeton, WV
• Providers in Princeton, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.