Individual provider Active NPI

Drake H Gunning, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1629406533
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15093 Issued in FL
Practice address
1266 Cedar Center Dr
Tallahassee, FL 32301-4876
Phone
(850) 508-4624
Fax
(850) 512-1301
NPI assigned
Oct 31, 2013
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X SW15093 FL Primary

Addresses

Primary practice location

1266 Cedar Center Dr
Tallahassee, FL 32301-4876

Mailing address

236 Ponderosa LN
Midway, FL 32343-4238
Phone (850) 508-4624

Other names 1

  • Mr. Drake H Gunning Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180326000981 FL Practitioner - Clinical Social Worker 7113289455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1266 Cedar Ctr Dr
Tallahassee, FL 32301-4876
Phone (850) 508-4624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Life Counseling and Consulting Group, LLC CurrentSince Jan 19, 2020 Accepting new patients
Florida Therapy Services, Inc CurrentSince Jul 17, 2021 Accepting new patients

Locations

6425 Pensacola Blvd
#13
Pensacola, FL 32505
Phone (850) 471-0017

1266 Cedar Center Dr
Tallahassee, FL 32301
Phone (850) 322-8709

Organizations & group practices 2

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": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1629406533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 PONDEROSA LN",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323434238",
            "telephone_number": "850-508-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 CEDAR CENTER DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014876",
            "telephone_number": "850-508-4624",
            "fax_number": "850-512-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNING",
        "first_name": "DRAKE",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DRAKE",
            "last_name": "GUNNING",
            "middle_name": "H",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.