Individual provider Active NPI

Kelly Darlyne Gemmill, LMSW

  • Social Worker
  • Scottsdale, AZ
National Provider Identifier
1326606179
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-16445 Issued in AZ
Practice address
10460 N 92ND St Ste 206
Scottsdale, AZ 85258-4547
Phone
(480) 323-1000
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-16445 AZ Primary

Addresses

Primary practice location

10460 N 92ND St Ste 206
Scottsdale, AZ 85258-4547

Mailing address

10460 N 92ND St Ste 206
Scottsdale, AZ 85258-4547

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
LMSW-16445AZMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1326606179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10460 N 92ND ST STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 N 92ND ST STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584547",
            "telephone_number": "480-323-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMILL",
        "first_name": "KELLY",
        "middle_name": "DARLYNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-16445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.