NPIMap

Organization Active NPI

Megan Gunnell, LMSW

  • Clinical Social Worker
  • Grosse Pointe Park, MI
National Provider Identifier
1609484666
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MEGAN GUNNELL, LMSW
Practice address
16824 Kercheval PL Ste 206
Grosse Pointe Park, MI 48230-1566
Phone
(248) 635-5285
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Mrs. Megan Kate Gunnell, LMSWNPI 1205045176
Title
Psychotherapist
Phone
(248) 635-5285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16824 Kercheval PL Ste 206
Grosse Pointe Park, MI 48230-1566

Mailing address

504 Barrington Rd
Grosse Pointe Park, MI 48230-1763
Phone (248) 635-5285

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.megangunnell.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231116000650 MI Part B Supplier - Clinic/Group Practice 0446607220 Receives reassigned benefits from 5 practitioners
Practice locations: Grosse Pointe Park, MI

National Provider Directory

National Provider Directory

Locations

16824 Kercheval Pl
Ste 206
Grosse Pointe Park, MI 48230
Phone (248) 635-5285

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1609484666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BARRINGTON RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301763",
            "telephone_number": "248-635-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16824 KERCHEVAL PL STE 206",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301566",
            "telephone_number": "248-635-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN GUNNELL, LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "GUNNELL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "248-635-5285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.megangunnell.com",
            "affiliation": "N",
            "address_1": "16824 Kercheval Pl Ste 206",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.