Active NPI
Samantha Jo Gunseth, BA, LCSW
- Clinical Social Worker
- Lake Elsinore, CA
National Provider Identifier
1376949818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118948
- Practice address
- 333 Limited Ave
Lake Elsinore, CA 92530-3746 - Phone
- (951) 675-6012
- NPI assigned
- Nov 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118948 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
333 Limited Ave
Lake Elsinore, CA 92530-3746
Mailing address
333 Limited Ave
Lake Elsinore, CA 92530-3746
Phone (951) 675-6012
Other practice location 1
1405 Spruce St
Suite A
Riverside, CA 92507-2464
Phone (915) 715-5040
Other practice location 2
265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530
Phone (951) 674-9243 ext. 6411
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118948 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1376949818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LIMITED AVE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925303746",
"telephone_number": "951-675-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LIMITED AVE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925303746",
"telephone_number": "951-675-6012"
}
],
"practiceLocations": [
{
"address_1": "1405 Spruce St",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925072464",
"country_code": "US",
"telephone_number": "915-715-5040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "265 San Jacinto River Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "92530",
"country_code": "US",
"telephone_number": "951-674-9243 x6411",
"fax_number": "951-674-9635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNSETH",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "BA, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "118948",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.