Active NPI
Debra Gilligan, LCMHC
- Clinical Social Worker
- Portsmouth, NH
National Provider Identifier
1003924747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 584
- Practice address
- 222 Court St
Portsmouth, NH 03801-4416 - Phone
- (603) 487-2246
- Fax
- (603) 964-7152
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 584 | NH | Primary |
Addresses
Primary practice location
222 Court St
Portsmouth, NH 03801-4416
Mailing address
PO Box 163
New Boston, NH 03070-0163
Phone (603) 487-2665
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366745 | Other | NH | MHN |
| 30423713 | Medicaid | NH | |
| 14Y008615NH01 | Other | NH | ANTHEM BCBS NUMBER |
| 2187705 | Other | NH | CIGNA BEHAVIORAL HEALTH |
| 7369626 | Other | NH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 20, 2025 through Oct 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584 | NH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003924747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "NEW BOSTON",
"state": "NH",
"postal_code": "030700163",
"telephone_number": "603-487-2665",
"fax_number": "603-964-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 COURT ST",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014416",
"telephone_number": "603-487-2246",
"fax_number": "603-964-7152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIGAN",
"first_name": "DEBRA",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "366745",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423713",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS NUMBER",
"identifier": "14Y008615NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2187705",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7369626",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.