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KATHLEEN KLEMER GUMIENNY LCSW C
NPI 1093785339
Social Worker - Clinical in Kingston, PA

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
480 PIERCE ST, #305, KINGSTON, PA 18704(410) 991-2077(570) 696-1526 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Klemer Gumienny Lcsw C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN KLEMER GUMIENNY LCSW C (NPI 1093785339) is an individual clinical provider in Kingston, Pennsylvania, licensed in Pennsylvania (CWO15775) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1093785339
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN KLEMER GUMIENNYCredential: LCSW C
Location Address480 PIERCE ST, #305Kingston, PA 18704-5512
Mailing Address2031 Rudy Serra Dr Unit 3aSykesville, MD 21784-6552 · (410) 991-2077
Phone(410) 991-2077
Fax(570) 696-1526
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 26, 2006
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1093785339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CWO15775
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 07971 (MD)
480 PIERCE ST, Kingston, PA 18704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Klemer Gumienny Lcsw C is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123277159
PECOS Enrollment IDI20121005000389
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN M TIMCHACK PSYD, BCBA-D
Psychologist (Clinical)
480 PIERCE ST, SUITE 119
KINGSTON, PA 18704
Luzerne County (570) 714-1981
DIANA CUELLO PH.D
Psychologist (Clinical)
480 PIERCE ST, SUITE 305
KINGSTON, PA 18704
Luzerne County (570) 437-0558
KELSEY MARIE BANFIELD RDN
Dietitian, Registered
480 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 815-0462
GRISWOLD INTERNATIONAL, LLC
In Home Supportive Care
480 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 338-4060
STEPHANIE LYNCH M.S, CRC
Counselor
480 PIERCE ST
KINGSTON, PA 18704
Luzerne County (570) 313-5618
WYOMING VALLEY ALCOHOL AND DRUG SERVICES INC
Counselor (Addiction (Substance Use Disorder))
480 PIERCE ST, 316-317
KINGSTON, PA 18704
Luzerne County (570) 820-8888
DR. PAUL THOMAS TAREN PH.D.
Psychologist (Clinical)
480 PIERCE ST, SUITE 115
KINGSTON, PA 18704
Luzerne County (570) 718-1740
BLAUM BREAST CARE SPECIALIST LLC
Surgery
480 PIERCE ST, NEW BRIDGE CENTER, SUITE #312-314
KINGSTON, PA 18704
Luzerne County (570) 714-3911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Gumienny's NPI number?

The NPI number for Kathleen Gumienny is 1093785339. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Kathleen Gumienny located?

Kathleen Gumienny practices at 480 Pierce St #305, Kingston, PA 18704. The listed phone number is (410) 991-2077.

What is Kathleen Gumienny's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Gumienny enrolled in Medicare?

Yes. Kathleen Gumienny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Gumienny was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.