Teresa Holt Gilmore, MSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0008944 Issued in OH

Practice address

264 S Main St
Marion, OH 43302-3933

Phone

(740) 387-2027

Fax

(740) 382-8022

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center Street Community Clinic IncGroup PAC ID 7012815210, 12 clinicians

Practice addresses (Care Compare)

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.

• Center Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1780984211
  Medicare reassignment Care Compare group NPD
• Center Street Community Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Marion, OH
  • NPI 1609657766

  Clinical

  NPD
• Center Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Galion, OH
  • NPI 1942840871
  NPD (past)
• Center Street Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Gilead, OH
  • NPI 1811303068
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114134137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 MOUNT VERNON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025402",
            "telephone_number": "740-383-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023933",
            "telephone_number": "740-387-2027",
            "fax_number": "740-382-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "TERESA",
        "middle_name": "HOLT",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Kay Gifford, LPC
• David Cyle Gilkerson
• Kimberly Gilley
• Dorsey L Gilliam, MD
• Rachel Lynn Gillig, LPN
• James Harry Gilsdorf, DDS
• Dawn Gingery
• Allyson Beth Gleespen
• Paridhi Gokhale, CNP
• Laverna Lynn Golden, LPN

• Clinical Social Worker in Marion, OH
• Providers in Marion, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.