Andrew Jonathan Dunleavy, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P010919 Issued in NC

Practice address

4035 University Pkwy
Winston Salem, NC 27106-3276

Phone

(336) 747-3213

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrew Jonathan Gosse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dunleavy Family Therapy, PLLC

  • Marriage & Family Therapist
  • Kernersville, NC
  • NPI 1811567977
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1801347794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 WATER LILY CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076016",
            "telephone_number": "480-228-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 UNIVERSITY PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063276",
            "telephone_number": "336-747-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "ANDREW",
        "middle_name": "JONATHAN",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P010919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "GOSSE",
            "middle_name": "JONATHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Thomas Dundee, MD, CMD
• Mary Katherine Dunevant, M.A. CCC-SLP
• Donna Parker Dunlap
• Kashya Dunlap
• Sophia Dunlap
• Dunn Eye Associates OD PLLC
• Emily Renae Dunn, MD
• Kimberly Samantha Dunn, PA-C, MMS
• Leslie T Dunn, OD
• Lucy Dunn, MS, CCC-SLP

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.