Individual provider Active NPI

Patricia G Gentry, MSW LCSW C

  • Social Worker
  • Denton, MD
National Provider Identifier
1366482283
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
07667 Issued in MD
Practice address
606 Sunnyside Ave
Caroline Co Mental Health Clinic
Denton, MD 21629
Phone
(410) 479-3800
Fax
(410) 479-0052
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 07667 MD Primary
Social Worker 104100000X SW009544L PA

Addresses

Primary practice location

606 Sunnyside Ave
Caroline Co Mental Health Clinic
Denton, MD 21629

Mailing address

2629 Choptank Main St
Preston, MD 21655
Phone (410) 673-9074

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW009544LPAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366482283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 CHOPTANK MAIN ST",
            "city": "PRESTON",
            "state": "MD",
            "postal_code": "21655",
            "telephone_number": "410-673-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SUNNYSIDE AVE",
            "address_2": "CAROLINE CO MENTAL HEALTH CLINIC",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "21629",
            "telephone_number": "410-479-3800",
            "fax_number": "410-479-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "07667",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW009544L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.