Individual provider Active NPI

Gary W Zornes, LCSW

  • Clinical Social Worker
  • Maysville, KY
National Provider Identifier
1932649639
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252450 Issued in KY
Practice address
910 Kenton Station Dr
Maysville, KY 41056-9613
Phone
(606) 759-0433
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1.2002319 OH
Clinical Social Worker 1041C0700X 34007629A IN
Clinical Social Worker 1041C0700X 252450 KY Primary

Addresses

Primary practice location

910 Kenton Station Dr
Maysville, KY 41056-9613

Mailing address

1056 Wellington Way Ste 160
Lexington, KY 40513-2002
Phone (859) 785-4599

Other practice location 1

502 S 2nd St
Ripley, OH 45167-1306
Phone (937) 744-4343

Other practice location 2

106 Powell St
Brooksville, KY 41004
Phone (606) 402-2075

Other identifiers 1

IdentifierTypeStateIssuer
7100475410MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20171010002003 KY Practitioner - Clinical Social Worker 3971888512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

PO Box
Suite 550
Vanceburg, KY 41179

PO Box
Suite 550
Vanceburg, KY 41179-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007629AINMDClinical Social Worker
252450KYMDClinical Social Worker
1.2002319OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. PastSince Jan 22, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gary.zornes.1@13661.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1932649639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 WELLINGTON WAY STE 160",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405132002",
            "telephone_number": "859-785-4599",
            "fax_number": "606-796-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 KENTON STATION DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569613",
            "telephone_number": "606-759-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "OH",
            "postal_code": "451671306",
            "country_code": "US",
            "telephone_number": "937-744-4343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Powell St",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "KY",
            "postal_code": "41004",
            "country_code": "US",
            "telephone_number": "606-402-2075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZORNES",
        "first_name": "GARY",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1.2002319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007629A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100475410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.