Individual provider Active NPI

Laurie Ann Gillespie, MSS, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1174580609
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW123303 Issued in PA
Practice address
8226 Ardleigh St
Philadelphia, PA 19118-3414
Phone
(610) 547-7174
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW123303 PA
School Social Worker 1041S0200X ED HM SCHOOL VISITOR PA
Clinical Social Worker 1041C0700X CW123303 PA Primary

Addresses

Primary practice location

8226 Ardleigh St
Philadelphia, PA 19118-3414

Mailing address

8226 Ardleigh St
Philadelphia, PA 19118-3414
Phone (610) 547-7174

Other names 1

  • Miss Laurie Ann Jamison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW123303PAMDSocial Worker
CW123303PAMDClinical Social Worker
ED HM SCHOOL VISITORPAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174580609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 ARDLEIGH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183414",
            "telephone_number": "610-547-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 ARDLEIGH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183414",
            "telephone_number": "610-547-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "MSS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123303",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PA",
            "license": "ED HM SCHOOL VISITOR",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW123303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "JAMISON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MSS, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.