Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dennis R. Gourley, LCSW

Individual provider Clinical Social Worker · NPI 1447346234

Dennis R. Gourley, LCSW is a Clinical Social Worker in Kingston, Pennsylvania. Qualified in 1995, 31 years ago. Practices with Professional Development Services Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
31
Licensed in
PA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

480 Pierce St Ste 112
Kingston, PA 18704-5512
Phone: (570) 714-0890
Fax: (570) 714-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW013873 (PA)

Record details

NPI number1447346234
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESApril 16, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Professional Development Services Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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