Active NPI
Marina Aline Gunst, LCSW
- Clinical Social Worker
- Rocklin, CA
National Provider Identifier
1760611453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 15870
- Practice address
- 5180 Grove Street
Rocklin, CA 95677-2733 - Phone
- (916) 251-1052
- Fax
- (916) 630-1977
- NPI assigned
- Jul 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 15870 | CA | Primary |
Addresses
Primary practice location
5180 Grove Street
Rocklin, CA 95677-2733
Mailing address
5180 Grove Street
Rocklin, CA 95677-2733
Phone (916) 251-1052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 15870 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1760611453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5180 GROVE STREET",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772733",
"telephone_number": "916-251-1052",
"fax_number": "916-630-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 GROVE STREET",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772733",
"telephone_number": "916-251-1052",
"fax_number": "916-630-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNST",
"first_name": "MARINA",
"middle_name": "ALINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 15870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.