Jaxie Gunner, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016514 Issued in PA

Legal business name

JAXIE GUNNER, INC.

Practice address

408 8TH St
Suite 5
New Kensington, PA 15068-6426

Phone

(724) 980-1504

Fax

(724) 212-3345

NPI assigned

Oct 26, 2011

Last updated

Oct 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaxie Kay Gunner, L.C.S.W.

Title

President/Ceo

Phone

(724) 980-1504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1316223076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 8TH ST",
            "address_2": "SUITE 5",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686426",
            "fax_number": "724-212-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 8TH ST",
            "address_2": "SUITE 5",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686426",
            "telephone_number": "724-980-1504",
            "fax_number": "724-212-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAXIE GUNNER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "GUNNER",
        "authorized_official_first_name": "JAXIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "724-980-1504",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102458480-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Holland
• Kristina Hruska
• Integra Health Family Medicine
• Katherine Iseman, PHARMD.
• Kirstan M Janovsky, RN, BSN
• John J. Brungo, DMD
• W. Kahle Johnson Jr., D.D.S.
• Zechariah Edward Jung, DO
• Felicia Junod, LPC
• Prakash Kaur, MD

• Clinical Social Worker in New Kensington, PA
• Providers in New Kensington, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.