Individual provider Active NPI

Virginia Gunther, LCSW

  • Clinical Social Worker
  • Shirley, NY
National Provider Identifier
1689045668
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094014 Issued in NY
Practice address
61 Lexington Rd
Shirley, NY 11967-2807
Phone
(631) 278-3633
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 094014 NY Primary
Social Worker 104100000X 096375-1 NY

Addresses

Primary practice location

61 Lexington Rd
Shirley, NY 11967-2807

Mailing address

61 Lexington Rd
Shirley, NY 11967-2807
Phone (631) 278-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221103001162 NY Practitioner - Clinical Social Worker 6608243662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sr Medical Services PLLCGroup PAC ID 2668832379, 11 clinicians

Practice addresses (Care Compare)

1400 Old Country Rd
Suite 200a
Westbury, NY 11590-5112
Phone (833) 350-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096375-1NYMDSocial Worker
094014NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & LCSW Services PC Clinical CurrentSince Sep 6, 2022 Accepting new patients
Sr Medical Services PLLC CurrentSince Dec 1, 2023 Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients
Association for Mental Health and Wellness Inc PastSince Apr 1, 2006 Accepting new patients

Locations

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

1400 Old Country Rd
Ste 103N
Westbury, NY 11590
Phone (516) 346-5268

1400 Old Country Rd
Ste 200A
Westbury, NY 11590
Phone (833) 350-8255

Interoperability endpoints

  • Direct secure messaging: communityminds.virginiagunther@160687.advancedmd-direct.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1689045668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LEXINGTON RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672807",
            "telephone_number": "631-278-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LEXINGTON RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672807",
            "telephone_number": "631-278-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTHER",
        "first_name": "VIRGINIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094014",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096375-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

Verify at the official NPI Registry.