Individual provider Active NPI

Meghan Gilliland, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1023568565
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-17932 Issued in AZ
Practice address
8987 E Tanque Verde Rd Ste 3091031
Tucson, AZ 85749-9610
Phone
(520) 425-7566
Fax
(520) 300-7173
NPI assigned
Oct 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-17932 AZ Primary

Addresses

Primary practice location

8987 E Tanque Verde Rd Ste 3091031
Tucson, AZ 85749-9610

Mailing address

8987 E Tanque Verde Rd Ste 3091031
Tucson, AZ 85749-9610
Phone (520) 425-7566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1023568565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD STE 3091031",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-425-7566",
            "fax_number": "520-300-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD STE 3091031",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-425-7566",
            "fax_number": "520-300-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "MEGHAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-17932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.