Wayne M. Gurnick Ms, LCSW P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R050891 Issued in NY

Legal business name

WAYNE M. GURNICK MS, LCSW P.C.

Practice address

111 Main St
Center Moriches, NY 11934-1709

Phone

(631) 603-7902

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Michael Gurnick, MS, LCSWNPI 1760621395

Title

Licensed Clinical Social Worker

Phone

(631) 603-7902

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Wayne Gurnick, LCSW

  • Clinical Social Worker
  • Coram, NY
  • NPI 1760621395
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1730427972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELLEN LN",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493222",
            "telephone_number": "631-878-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341709",
            "telephone_number": "631-603-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE M. GURNICK MS, LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "GURNICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-603-7902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nichole Vetri
• Patricia E Voelpel, ANP
• Melissa Vogt, LCSW
• Waldbaum Inc
• Susan Diana Walker, M.D.
• Andrea Weisse
• Patrice Westenberger, NP
• Mikayla Weybrecht
• Jane S. Whitaker, DC
• John F. Whitaker Jr., D.C.,L.AC.

• Clinical Social Worker in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.