Gayla D Sisk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2010003018 Issued in MO

Practice address

5270 Flat River Dr
Park Hills, MO 63601-2224

Phone

(573) 431-0162

NPI assigned

Dec 8, 2010

Last updated

Jan 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1396048609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 FLAT RIVER DR",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012224",
            "telephone_number": "573-431-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 FLAT RIVER DR",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012224",
            "telephone_number": "573-431-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "GAYLA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010003018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seasons Counseling Center LLC
• Serenity Hospicecare
• Deborah L Sherrill
• Matthew David Sherrill, D.C.
• Michael Sherrill, DC
• Dwayne Patrick Smith
• Emilee Louise Snider
• Southeast Missouri Behavioral Health
• Southeast Missouri Community Treatment Center
• Southeast Missouri Community Treatment Center, Inc.

• Clinical Social Worker in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.