Kenyuatia Lynn Gash, LCSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008950 Issued in VA

Practice address

360 Wythe Creek Rd Ste C
Poquoson, VA 23662-1975

Phone

(757) 868-0072

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• KL Gash & Associates LLC

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1699384149
  Medicare reassignment NPD Authorized official
• VA Smile Foundation, Inc.

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1043051642
  NPD Authorized official
• Betty Eastman LCSW and Associates Inc

  • Clinical Social Worker
  • Poquoson, VA
  • NPI 1265609887
  NPD
• First Colonial Psychotherapy Services

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1336294479
  NPD (past)

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1831440544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COLISEUM CROSSING",
            "address_2": "STE 5142",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236660966",
            "telephone_number": "757-344-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WYTHE CREEK RD STE C",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621975",
            "telephone_number": "757-868-0072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Coliseum Crossing",
            "address_2": "Ste 5142",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236660966",
            "country_code": "US",
            "telephone_number": "757-344-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASH",
        "first_name": "KENYUATIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018484",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubree Rene' Dorsey
• Betty Jayne Eastman, LCSW
• Eckerd Corporation
• Five Star Quality Care - VA, LLC
• Rebekah Forrest
• David Gilman, D.M.D.
• GL Virginia Poquoson, LLC
• Good Steward ABA and Consulting LLC
• Hampton Roads Foot & Ankle Clinic
• David Shawn Hanberry

• Clinical Social Worker in Poquoson, VA
• Providers in Poquoson, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.