Active NPIIndividual providerSole proprietor

Ellen C Gillis, LICSW

Social Worker, Clinical in Hanover, Massachusetts

NPI Number1215418462
Practice location
129 American Elm Ave, Hanover, MA 02339-1243
Fax
—
Last updated
August 26, 2018

Ellen C Gillis is a Social Worker, Clinical based in Hanover, MA. Ellen C Gillis practices in Hanover, MA and has the professional credentials of LICSW. The NPI Number for Ellen C Gillis is 1215418462 and holds a License No. 105166 (MA). The current practice location address for Ellen C Gillis is 129 American Elm Ave, Hanover, MA 02339-1243 and can be reached out via phone at 781-871-0070.

Provider Profile Details

NPI Number
1215418462
Provider Name
Ellen C Gillis
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
129 American Elm Ave, Hanover, MA 02339-1243
Phone Number
781-871-0070
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 26, 2018
Last Update Date
August 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
129 American Elm Ave
Hanover, MA 02339-1243
Zip
02339-1243
Phone Number
781-871-0070
Hanover, MA 02339Get directions →

Provider Business Mailing Address Details

Address
129 American Elm Ave
Hanover, MA 02339-1243
City
Hanover
State
MA
Zip
02339-1243
Phone Number
781-871-0070

License Information

License Number
105166
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ellen C Gillis, LICSW?

The NPI number of Ellen C Gillis, LICSW is 1215418462. It was assigned on August 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Ellen C Gillis, LICSW?

Ellen C Gillis, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105166.

Where does Ellen C Gillis, LICSW practice?

The practice location is 129 American Elm Ave, Hanover, MA 02339-1243. The office can be reached at 781-871-0070 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215418462 directly on the NPPES registry website.

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