Karen Patrice Gillette, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087548-1 Issued in NY

Practice address

3980 Vanston Rd
Cutchogue, NY 11935-1629

Phone

(908) 303-5493

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Karen Hawkins Gillette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1003288622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 VANSTON RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119351629",
            "telephone_number": "631-734-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 VANSTON RD",
            "city": "CUTCHOGUE",
            "state": "NY",
            "postal_code": "119351629",
            "telephone_number": "908-303-5493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7555 Main Rd",
            "address_purpose": "LOCATION",
            "city": "Mattituck",
            "state": "NY",
            "postal_code": "119521516",
            "country_code": "US",
            "telephone_number": "631-298-8642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "KAREN",
        "middle_name": "PATRICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087548-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GILLETTE",
            "middle_name": "HAWKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Cutchogue, NY
• Providers in Cutchogue, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.