Ebony Gums, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22523 Issued in MN

Practice address

1544 Greenwood CT N
Eagan, MN 55122-1306

Phone

(612) 310-2873

NPI assigned

Aug 8, 2020

Last updated

May 7, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1841800315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 GREENWOOD CT N",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221306",
            "telephone_number": "612-310-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 GREENWOOD CT N",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221306",
            "telephone_number": "612-310-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMS",
        "first_name": "EBONY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22523",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.61505637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Guderian
• Elizabeth Sarah Guentzel, OTR/L
• Shannon M Gugliotta, CRNP
• Guiding Steps ABA LLC
• Farhan N Guled
• Naresh T Gunaratnam, M.D.
• Michael H Gurewitz, DDS
• Teresa Louise-Keller Gurin, M.D.
• Patricia Diane Gust, L. AC.
• Isabella Rose Haake, PHARMD

• Clinical Social Worker in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.