J Gallimore MSW,LCSW,PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002860 Issued in NC

Legal business name

J GALLIMORE MSW,LCSW,PLLC

Practice address

3491 S Evans St
Suite a
Greenville, NC 27834-4534

Phone

(252) 378-1490

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Joan Ellen Gallimore, MSW,LCSW,LCAS

Title

Therapist

Phone

(252) 378-1490

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1134450174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "GRIFTON",
            "state": "NC",
            "postal_code": "285300179",
            "telephone_number": "252-378-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 S EVANS ST",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344534",
            "telephone_number": "252-378-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GALLIMORE MSW,LCSW,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "GALLIMORE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "252-378-1490",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LCSW,LCAS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1179F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007022",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAV HEALTH",
            "identifier": "2048510",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "187374",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.