Individual provider Active NPI

Courtney Gum, LCSW-C

  • Clinical Social Worker
  • Delmar, DE
National Provider Identifier
1821741059
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19066 Issued in MD
Practice address
200 N 8TH St
Delmar, DE 19940-1374
Phone
(302) 846-0303
NPI assigned
Jan 28, 2022
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19066 MD Primary

Addresses

Primary practice location

200 N 8TH St
Delmar, DE 19940-1374

Mailing address

36866 Red Berry Rd
Delmar, DE 19940-2347
Phone (302) 258-8093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250116000510 MD Practitioner - Clinical Social Worker 8123556321 Reassigns benefits to 1 organization
I20250131000870 DC Practitioner - Clinical Social Worker 8123556321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy LCSW of Maryland LLCGroup PAC ID 5597174797, 13 clinicians

Practice addresses (Care Compare)

2700 Barker St
Silver Spring, MD 20910-1001
Phone (973) 264-0023

822 Guilford Ave
Suite 1526
Baltimore, MD 21202-3707
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19066MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LCSW of Maryland LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Nanticoke Wellness Seaford PastSince Feb 1, 2022 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

822 Guilford Ave
#1526
Baltimore, MD 21202
Phone (973) 295-6335

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1821741059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36866 RED BERRY RD",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199402347",
            "telephone_number": "302-258-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 8TH ST",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199401374",
            "telephone_number": "302-846-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUM",
        "first_name": "COURTNEY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, DE

Sources for this page

Verify at the official NPI Registry.