Individual provider Active NPI

Gwendolyn Jean Franklin, M.S., L.C.S.W.

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1215089164
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001560 Issued in NC
Practice address
803 Stamper Rd Ste G
Fayetteville, NC 28303-4193
Phone
(910) 223-7114
Fax
(910) 672-7953
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 C001560 NC Primary

Addresses

Primary practice location

803 Stamper Rd Ste G
Fayetteville, NC 28303-4193

Mailing address

1023 Fairfield Cir
Raeford, NC 28376-6607
Phone (910) 550-3803

Other names 1

  • Gwendolyn Jean Denson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071019000311 NC Practitioner - Clinical Social Worker 2769578889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KV Consultants and Associates IncGroup PAC ID 0648566653, 2 clinicians

Practice addresses (Care Compare)

803 Stamper Rd
Suite G
Fayetteville, NC 28303-4193
Phone (910) 223-7114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C001560NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KV Consultants & Associates Inc CurrentSince Aug 1, 2016 Accepting new patients
Southeastern Regional Mental Health Center Past Accepting new patients

Locations

803 Stamper Rd
Ste G
Fayetteville, NC 28303
Phone (910) 223-7114

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1215089164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 FAIRFIELD CIR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766607",
            "telephone_number": "910-550-3803",
            "fax_number": "407-479-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 STAMPER RD STE G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034193",
            "telephone_number": "910-223-7114",
            "fax_number": "910-672-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "GWENDOLYN",
        "middle_name": "JEAN",
        "credential": "M.S., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "DENSON",
            "middle_name": "JEAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.