Kinga Gudor, MSW, LCSW, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007315 Issued in VA

Practice address

129 W Virginia Beach Blvd Ste 204a
Norfolk, VA 23510-2030

Phone

(757) 319-5416

Fax

(757) 918-8760

NPI assigned

Jun 21, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Deep Connections Counseling LLCGroup PAC ID 4082957295, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Deep Connections Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norfolk, VA
  • NPI 1699244996

  NC

  Medicare reassignment Care Compare group NPD Authorized official
• Kinga Gudor

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1912363698
  NPD (past) Authorized official

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1508187881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 ROCKBRIDGE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081418",
            "telephone_number": "757-319-5416",
            "fax_number": "757-918-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD STE 204A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-319-5416",
            "fax_number": "757-918-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDOR",
        "first_name": "KINGA",
        "credential": "MSW, LCSW, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508187881",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Carl Grulke, M.D.
• Daniel Michael Grunberg, MD
• Alexander Asher Grunsfeld, MD
• Thomas Steven Grunwald, OTR/L
• Guardian Homecare LLC
• Lauren Guenther
• Stacey Guerrero
• Brian James Guerrieri, DDS
• Aldo L Guevara
• Mary Jo-Anne Guinto, DENTAL HYGIENIST

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.