Gary Robert Atkins, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

75509 Issued in CA

Practice address

522 N Main St
Walnut Cove, NC 27052-9247

Phone

(336) 753-2655

NPI assigned

Dec 27, 2007

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Valley Drug and Alcohol Recovery Services

  dba Inland Valley Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Bernardino, CA
  • NPI 1053180307
  NPD
• Inland Valley Drug and Alcohol Recovery Services

  dba Inland Valley Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Colton, CA
  • NPI 1740059088
  NPD

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1487838405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "336-753-2655",
            "fax_number": "336-217-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "336-753-2655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Arrow Hwy Bldg E",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864984",
            "country_code": "US",
            "telephone_number": "909-932-1069 x229",
            "fax_number": "909-932-1087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6160 Mission George Road",
            "address_2": "SUITE 108",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92120",
            "country_code": "US",
            "telephone_number": "619-481-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "GARY",
        "middle_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "28294",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "051108",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014289",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 511 Windmill Street Opco LLC (Walnut Cove Health and Rehabilitation)
• Arc Services, Inc.
• Cameo Bra Shop (Mary R Tuttle)
• Carenet Inc (CareNet Counseling)
• Haley Leigh-Ann Chaney, LCSWA
• Harry Mario Coletta II, MD
• Walter Crowley

• Clinical Social Worker in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.