Ladarien Jarey Gillins

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1221 Kapiolani Blvd
Honolulu, HI 96814-3503

Phone

(808) 260-9893

NPI assigned

Nov 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1104462175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78C LAKEVIEW CIR APT C",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861529",
            "telephone_number": "214-641-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143503",
            "telephone_number": "808-260-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLINS",
        "first_name": "LADARIEN",
        "middle_name": "JAREY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgillins@telecarecorp.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Telecare Corporation",
            "address_1": "280 17th St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946124124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Anthony Gill
• Ryan Anthony Gillia, PSY.D.
• Dory Joy Gillikin
• Judith T Gilliland, RN
• Timothy Gilliland
• Cody Vincent Gilliss, PT, DPT
• George Gilmore
• Charles Warren Gima, ATC
• Lana H. Gimber, MD, MPH
• Gregory Gin

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.