Active NPI
Wanda Gunn, LMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1548654114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801020770
- Practice address
- 100 River Place Dr
Suite 250
Detroit, MI 48207-4274 - Phone
- (313) 871-2337
- Fax
- (313) 871-1805
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 6801020770 | MI | Primary |
Addresses
Primary practice location
100 River Place Dr
Suite 250
Detroit, MI 48207-4274
Mailing address
100 River Place Dr
Detroit, MI 48207-4274
Phone (313) 871-2337
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 |
|---|---|---|---|
| 6801020770 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Center | Clinical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1548654114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RIVER PLACE DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074274",
"telephone_number": "313-871-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RIVER PLACE DR",
"address_2": "SUITE 250",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074274",
"telephone_number": "313-871-2337",
"fax_number": "313-871-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "WANDA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801020770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.