Michael Allan Gillis, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20484 Issued in MD

Practice address

2107 Laurel Bush Rd Ste 102
Bel Air, MD 21015-5202

Phone

(443) 371-3233

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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1164068110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BRANT CT",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210784203",
            "telephone_number": "443-243-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 LAUREL BUSH RD STE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155202",
            "telephone_number": "443-371-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "MICHAEL",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Gibson, LMSW
• Syedah Sherry Gilani, MD
• Monica Giles
• Rachel Gill, LCSW-C
• Sandeep Gill
• Mark Toliver Gills, LCPC
• Vincent Anthony Giminaro, DO
• Kate M Gingue, RD, LDN
• Gio Health and Wellness LLC
• Michael T Giordano, MD

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.