Gina Michele Underwood, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

KY1630 Issued in KY

Practice address

4 Physicians Park
Frankfort, KY 40601-4181

Phone

(502) 875-1685

Fax

(502) 875-1686

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Clinical

  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265500664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 CENTRAL AVE APT 4",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021793",
            "telephone_number": "859-227-4676",
            "fax_number": "502-875-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHYSICIANS PARK",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014181",
            "telephone_number": "502-875-1685",
            "fax_number": "502-875-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "GINA",
        "middle_name": "MICHELE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "KY1630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID #",
            "identifier": "7495652",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEH HEALTH ID #",
            "identifier": "775407000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH ID #",
            "identifier": "1216008",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID & HUMANA&BGFH ID #",
            "identifier": "611469160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS  ID #",
            "identifier": "000000336984",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TLN Professional Services PLLC
• Total Renal Care, Inc. (Frankfort PD Dialysis)
• Melinda Robin Tucker, LCSW
• Gina Turner, LPCC
• Grover Mark Tussey, M.D.
• Universal Behavioral Health
• University of Kentucky (UK Retail Pharmacy - Frankfort)
• University of Kentucky
• Lora E Unthank, BA
• Daisy F. Urbano, M.D.

• Clinical Social Worker in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.