NPIMap

Organization Active NPI

Judy L. Gunn LCSW, P.a.

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1437712312
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUDY L. GUNN LCSW, P.A.
Practice address
2003 W Cypress Creek Rd Ste 109
Fort Lauderdale, FL 33309-1834
Phone
(248) 219-3624
NPI assigned
Apr 17, 2019
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Patty George
Title
Credentialing
Phone
(321) 430-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2003 W Cypress Creek Rd Ste 109
Fort Lauderdale, FL 33309-1834

Mailing address

111 N Pompano Beach Blvd Apt 511
Pompano Beach, FL 33062-5742
Phone (248) 219-3624

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL # Direct
Other URL #

National Provider Directory

National Provider Directory

Locations

2003 W Cypress Creek Rd
Ste 109
Ft Lauderdale, FL 33309
Phone (248) 219-3624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1437712312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N POMPANO BEACH BLVD APT 511",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625742",
            "telephone_number": "248-219-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W CYPRESS CREEK RD STE 109",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091834",
            "telephone_number": "248-219-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY L. GUNN LCSW, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "321-430-1090"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "#",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fort Lauderdale",
            "address_1": "2003 W Cypress Creek Rd Ste 109",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333091834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "#",
            "affiliation": "N",
            "address_1": "2003 W Cypress Creek Rd Ste 109",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333091834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.