Active NPI
Janette Gunn, LCSW
- Clinical Social Worker
- Brookfield, WI
National Provider Identifier
1457528978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7574-123
- Practice address
- 15465 Franklin Dr
Brookfield, WI 53005-4141 - Phone
- (608) 636-4700
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7574-123 | WI | Primary |
Addresses
Primary practice location
15465 Franklin Dr
Brookfield, WI 53005-4141
Mailing address
15465 Franklin Dr
Brookfield, WI 53005-4141
Phone (608) 636-4700
Other practice location 1
6717 Stone Glen Drive
Middleton, WI 53562
Phone (608) 827-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43711200 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7574-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Resources Inc | Past | Accepting new patients |
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.
-
- Case Management Agency
- Middleton, WI
- NPI 1669646584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1457528978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15465 FRANKLIN DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054141",
"telephone_number": "608-636-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15465 FRANKLIN DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054141",
"telephone_number": "608-636-4700"
}
],
"practiceLocations": [
{
"address_1": "6717 Stone Glen Drive",
"address_purpose": "LOCATION",
"city": "Middleton",
"state": "WI",
"postal_code": "53562",
"country_code": "US",
"telephone_number": "608-827-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNN",
"first_name": "JANETTE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7574-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43711200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.