KATHLEEN KLEMER GUMIENNY


Address: 480 Pierce St, #305, Kingston, PA 18704-5512
Phone: 4109912077

KATHLEEN KLEMER GUMIENNY (NPI# 1093785339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093785339
Entity Type Individual
Full Name KATHLEEN KLEMER GUMIENNY
Credential LCSW C
Practice Address 480 Pierce St
#305
Kingston
PA 18704-5512
Mailing Address 480 Pierce St
Suite 305
Kingston
PA 18704-5512
Practice Telephone 4109912077
Practice Fax Number 5706961526
Mailing Telephone 4109912077
Mailing Fax Number 5706961526
Enumeration Date 2006-01-26
Last Update Date 2011-06-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 07971 MD Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
CWO15775 PA Behavioral Health & Social Service Providers

Office Location

Street Address 480 PIERCE ST
#305
City KINGSTON
State PA
Zip Code 18704-5512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467451591 Paul Thomas Taren Psychologist 480 Pierce St, Suite 115, Kingston, PA 18704-5512 2005-07-20
1649881665 Jamie Judge Social Worker 480 Pierce St, Kingston, PA 18704-5512 2020-08-13
1275981573 Wyoming Valley Alcohol and Drug Services Inc Counselor 480 Pierce St, 316-317, Kingston, PA 18704-5512 2016-05-26
1174971527 Griswold International, LLC In Home Supportive Care 480 Pierce St, Kingston, PA 18704-5512 2016-05-26
1891036117 Matrix Wound Supply Durable Medical Equipment & Medical Supplies 480 Pierce St, Suite 101, Kingston, PA 18704-5512 2013-03-12
1144578758 Diana Cuello Psychologist 480 Pierce St, Suite 305, Kingston, PA 18704-5512 2012-08-29
1508111881 Debra A Pavlico Counselor 480 Pierce St, New Bridge Center, Suite 206, Kingston, PA 18704-5512 2012-07-23
1699034934 Stephen M. Timchack, Psyd, P.C. Psychologist 480 Pierce St, Suite 119, Kingston, PA 18704-5512 2012-05-07
1467723866 Blaum Breast Care Specialist LLC Surgery 480 Pierce St, New Bridge Center, Suite #312-314, Kingston, PA 18704-5512 2012-01-18
1699912691 Abby Russin, Ph.d., LLC Psychologist 480 Pierce St, Suite 119, Kingston, PA 18704-5756 2009-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659984268 Julia Ann Forbes Social Worker 3 Schoolhouse Ln, Kingston, MA 02364-1861 2020-08-25
1295369668 Kelly Mcglynn, LLC Social Worker 4446 Route 27 Ste 1, Kingston, NJ 08528-9613 2020-02-25
1235778283 Carolyn Hovey Mcginnis Social Worker 480 Pierce St Ste 300, Kingston, PA 18704-5512 2019-12-22
1093350043 Kate Napolitano Social Worker 275 Fair St Ste 17b, Kingston, NY 12401-3882 2019-11-14
1013492586 Heidi Tompkins Conner Social Worker 46 Forge Rd, Kingston, MA 02364-1091 2018-09-30
1528542743 Patricia Desiata Social Worker 33 Second Brook St, Kingston, MA 02364-2117 2018-09-24
1558845073 Michelle Mcgann Social Worker 16 Hewitt Pl, Kingston, NY 12401-5349 2018-09-20
1164905964 Sandra Louise Smith Social Worker 12 White Pine Ln, Kingston, MA 02364-1046 2018-09-08
1275016180 Anna Lisa Seery Social Worker 1 Jones River Dr, Kingston, MA 02364-1519 2018-09-07
1407368004 Mary Vandezande Social Worker 77 Cornell St, Kingston, NY 12401-3648 2017-11-04
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Competitor

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City KINGSTON
Zip Code 18704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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