Active NPI
Gary W Zornes, LCSW
- Clinical Social Worker
- Maysville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 252450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100475410 | Medicaid | KY |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34007629A | IN | MD | Clinical Social Worker |
| 252450 | KY | MD | Clinical Social Worker |
| 1.2002319 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Primary Care Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Vanceburg, KY
- NPI 1457303802
-
- Federally Qualified Health Center (FQHC)
- Brooksville, KY
- NPI 1871208199
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.