Organization Active NPI

KL Gash & Associates LLC

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1699384149
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KL GASH & ASSOCIATES LLC
Practice address
12 Musket LN
Hampton, VA 23666-5345
Phone
(412) 401-9707
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Ms. Kenyuatia L Gash, LCSWNPI 1831440544
Title
Ceo and Clinical Director
Phone
(757) 344-3848

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

12 Musket LN
Hampton, VA 23666-5345

Mailing address

5336 George Washington Mem Hwy Ste E1
Yorktown, VA 23692-2501
Phone (757) 344-3848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230002099 VA Part B Supplier - Clinic/Group Practice 4981017423 Receives reassigned benefits from 7 practitioners
Practice locations: Hampton, VA

National Provider Directory

National Provider Directory

Locations

101 Coliseum Xing
5142
VA 23666

101 Coliseum Xing
5142
Hampton, VA 23666
Phone (757) 654-3194

101 Coliseum Xing
5142
Hampton, VA 23666

5336 George Washington Mem Hwy
Ste E1
Yorktown, VA 23692

Practitioners & affiliated clinicians

Practitioners 7

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": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1699384149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 GEORGE WASHINGTON MEM HWY STE E1",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922501",
            "telephone_number": "757-344-3848",
            "fax_number": "718-732-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MUSKET LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665345",
            "telephone_number": "412-401-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KL GASH & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "GASH",
        "authorized_official_first_name": "KENYUATIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-344-3848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.