Gwendolyn Vanvolkenburgh, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05285800 Issued in NJ

Practice address

60 Dale Dr
Summit, NJ 07901-3129

Phone

(908) 752-8121

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Gwendolyn Vanvolkenburgh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1740367150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DALE DR",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013129",
            "telephone_number": "908-752-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DALE DR",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013129",
            "telephone_number": "908-752-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVOLKENBURGH",
        "first_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05285800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05285800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENDOLYN",
            "last_name": "VANVOLKENBURGH",
            "prefix": "MRS.",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Union Child & Adolescent Psychiatry Center LLC
• Universal Health Care Navigators
• Adem Ural, DO
• William S Vallario, PHARMACIST
• Marisa Vanbuskirk, APN
• Vlad Brian Vayzband, MD, MPH
• Mariam Vaziri, D.M.D.
• Dennis Vega, MD
• Maria Estelle Velazquez-Knight, LSW
• Ankita Veta, MD, MPH

• Clinical Social Worker in Summit, NJ
• Providers in Summit, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.