Jana Gumley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

138536 Issued in AK

Practice address

22 Pleasant LN
Fairview Heights, IL 62208-1814

Phone

(865) 924-7927

NPI assigned

Jul 16, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1992281752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PLEASANT LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081814",
            "telephone_number": "865-924-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PLEASANT LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081814",
            "telephone_number": "865-924-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMLEY",
        "first_name": "JANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "115614",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "138536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliyah Green
• Jennifer Michelle Green, SLP
• Kimberly Hope Green
• Erin L Grumley, LPC
• Alex Christian Guebert, D.C.
• Chelsea Tyler Hall
• John Hall
• Les P Ham
• Hamill Vision Care, L.L.C.
• Hanger Prosthetics & Orthotics East, Inc

• Clinical Social Worker in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.