Individual provider Active NPI

Gwen Cowan West, LCSW

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1689954778
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3499 Issued in KY
Practice address
201 E Mount Vernon St
Somerset, KY 42501-1412
Phone
(606) 451-9379
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3499 KY Primary

Addresses

Primary practice location

201 E Mount Vernon St
Somerset, KY 42501-1412

Mailing address

PO Box 2
Somerset, KY 42502-0002
Phone (606) 451-9379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210615003462 KY Practitioner - Clinical Social Worker 1759781503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Kentucky College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Preferred Care, IncGroup PAC ID 7315347168, 3 clinicians

Practice addresses (Care Compare)

480 E University Dr
Suite 7a
Somerset, KY 42503-2410
Phone 6064519379237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3499KYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Preferred Care, Inc. CurrentSince Jun 3, 2021 Accepting new patients

Locations

480 E University Dr
Somerset, KY 42503
Phone (606) 451-9379

480 E University Dr
Ste 7A
Somerset, KY 42503
Phone (606) 451-9379

201 E Mount Vernon St
Somerset, KY 42501
Phone (606) 451-9379

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1689954778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425020002",
            "telephone_number": "606-451-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MOUNT VERNON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011412",
            "telephone_number": "606-451-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "GWEN",
        "middle_name": "COWAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.