Active NPIIndividual providerSole proprietor

Russell J Gwilliam, MA, LMHC

Community/Behavioral Health in Worcester, Massachusetts

NPI Number1346557543
Practice location
44 Front St, Worcester, MA 01608-1733
Fax
—
Last updated
September 9, 2010

Russell Jeremy Gwilliam is a Community/Behavioral Health based in Worcester, MA. Russell Jeremy Gwilliam practices in Worcester, MA and has the professional credentials of MA, LMHC. The NPI Number for Russell Jeremy Gwilliam is 1346557543 and holds a License No. 1745 (MA). The current practice location address for Russell Jeremy Gwilliam is 44 Front St, Worcester, MA 01608-1733 and can be reached out via phone at 508-753-0321.

Provider Profile Details

NPI Number
1346557543
Provider Name
Russell Jeremy Gwilliam
Credential
MA, LMHC
Provider Entity Type
Individual
Gender
Male
Address
44 Front St, Worcester, MA 01608-1733
Phone Number
508-753-0321
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2010
Last Update Date
September 9, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Front St
Worcester, MA 01608-1733
Zip
01608-1733
Phone Number
508-753-0321
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
12 Pineview Trl
Auburn, MA 01501-2120
City
Auburn
State
MA
Zip
01501-2120
Phone Number
508-864-0839

License Information

License Number
1745
License State
MA
Taxonomy
Community/Behavioral Health · 251S00000X · 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 Russell J Gwilliam, MA, LMHC?

The NPI number of Russell J Gwilliam, MA, LMHC is 1346557543. It was assigned on September 9, 2010 and is currently active in the NPPES registry.

What is the specialty of Russell J Gwilliam, MA, LMHC?

Russell J Gwilliam, MA, LMHC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number 1745.

Where does Russell J Gwilliam, MA, LMHC practice?

The practice location is 44 Front St, Worcester, MA 01608-1733. The office can be reached at 508-753-0321 (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 1346557543 directly on the NPPES registry website.

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