Individual provider Active NPI

Megan Kate Gunnell, M.S.W., MT-BC

  • Clinical Social Worker
  • Grosse Pointe Park, MI
National Provider Identifier
1205045176
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1727163 Issued in MI
Practice address
504 Barrington Rd
Grosse Pointe Park, MI 48230-1763
Phone
(248) 635-5285
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1727163 MI Primary

Addresses

Primary practice location

504 Barrington Rd
Grosse Pointe Park, MI 48230-1763

Mailing address

504 Barrington Rd
Grosse Pointe Park, MI 48230-1763
Phone (248) 635-5285

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

State licenses

LicenseStateTypeSpecialty
1727163MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Megan Gunnell, LMSW Clinical CurrentSince Feb 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1205045176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BARRINGTON RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301763",
            "telephone_number": "248-635-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 BARRINGTON RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301763",
            "telephone_number": "248-635-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELL",
        "first_name": "MEGAN",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "1727163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.