Individual provider Active NPI

Gwenn Keller Auel

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1366489288
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C003336 Issued in NC
Practice address
3511 W Market St
Ste 100
Greensboro, NC 27403-4443
Phone
(336) 632-3505
Fax
(336) 665-6188
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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 C003336 NC Primary

Addresses

Primary practice location

3511 W Market St
Ste 100
Greensboro, NC 27403-4443

Mailing address

3511 W Market St
Ste 100
Greensboro, NC 27403-4443
Phone (336) 632-3505

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
I20100923000347 NC Practitioner - Clinical Social Worker 0143346585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians

Practice addresses (Care Compare)

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Psychiatric and Counseling Center PA Clinical CurrentSince Feb 16, 2011 Accepting new patients

Locations

3511 W Market St
Ste 100
Greensboro, NC 27403
Phone (336) 522-8999

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

Organizations & group practices 1

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1366489288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST",
            "address_2": "STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034443",
            "telephone_number": "336-632-3505",
            "fax_number": "336-665-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST",
            "address_2": "STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034443",
            "telephone_number": "336-632-3505",
            "fax_number": "336-665-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUEL",
        "first_name": "GWENN",
        "middle_name": "KELLER",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.