Individual provider Active NPI

Patricia A. Gunning, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1942623822
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3416 Issued in KY
Practice address
4339 Winston Ave
Covington, KY 41015-1739
Phone
(859) 835-2573
Fax
(859) 727-6327
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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 3416 KY Primary

Addresses

Primary practice location

4339 Winston Ave
Covington, KY 41015-1739

Mailing address

4339 Winston Ave
Covington, KY 41015-1739
Phone (859) 835-2573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3416KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1942623822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4339 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151739",
            "telephone_number": "859-835-2573",
            "fax_number": "859-727-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4339 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151739",
            "telephone_number": "859-835-2573",
            "fax_number": "859-727-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNING",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.