Active NPIIndividual provider

Justin S Gillis

Social Worker, Clinical in Belmont, Massachusetts

NPI Number1679060123
Practice location
115 Mill St, Belmont, MA 02478-1048
Fax
617-855-3715
Last updated
April 20, 2018

Justin Sean Gillis is a Social Worker, Clinical based in Belmont, MA. Justin Sean Gillis practices in Belmont, MA. The NPI Number for Justin Sean Gillis is 1679060123 and holds a License No. 120799 (MA). The current practice location address for Justin Sean Gillis is 115 Mill St, Belmont, MA 02478-1048 and can be reached out via phone at 617-855-2459 and via fax at 617-855-3715.

Provider Profile Details

NPI Number
1679060123
Provider Name
Justin Sean Gillis
Provider Entity Type
Individual
Gender
Male
Address
115 Mill St, Belmont, MA 02478-1048
Phone Number
617-855-2459
Fax Number
617-855-3715
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2018
Last Update Date
April 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1048
Zip
02478-1048
Phone Number
617-855-2459
Fax Number
617-855-3715
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
115 Mill St
Belmont, MA 02478-1048
City
Belmont
State
MA
Zip
02478-1048
Phone Number
617-855-2459
Fax Number
617-855-3715

License Information

License Number
120799
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 Justin S Gillis?

The NPI number of Justin S Gillis is 1679060123. It was assigned on April 20, 2018 and is currently active in the NPPES registry.

What is the specialty of Justin S Gillis?

Justin S Gillis is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120799.

Where does Justin S Gillis practice?

The practice location is 115 Mill St, Belmont, MA 02478-1048. The office can be reached at 617-855-2459 (phone) or 617-855-3715 (fax).

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 1679060123 directly on the NPPES registry website.

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