Justin Sean Gillis LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JUSTIN SEAN GILLIS LLC

Practice address

115 Mill St
Belmont, MA 02478-1064

Phone

(617) 855-2459

Fax

(617) 855-3470

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Justin Gillis, LICSW

Title

Owner

Phone

(774) 273-0594

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1023642253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064",
            "telephone_number": "617-855-2459",
            "fax_number": "617-855-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064",
            "telephone_number": "617-855-2459",
            "fax_number": "617-855-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN SEAN GILLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-273-0594",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneke Johnson
• Barbara Madden Johnson, MA;LPC
• Alex Jordan, PH.D.
• Joseph H. Albeck MD PC
• Ganaelle Joseph-Senatus, MD
• Alagu Selvi Kadappan
• Isabella Kahhale
• Karen S Kantor
• Cynthia Sue Kaplan
• Namara Joy Karakire

• Clinical Social Worker in Belmont, MA
• Providers in Belmont, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.