Gillian Kemba Gregory, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18294 Issued in MD

Practice address

1728 Ingram Rd
Baltimore, MD 21239-3717

Phone

(410) 905-9904

NPI assigned

Nov 8, 2012

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 MD

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

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.

• One Alkaline Life, LLC

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1104572775
  Medicare reassignment NPD
• One Alkaline Life LLC

  • Mental Health Counselor
  • Waldorf, MD
  • NPI 1801777313
  NPD (past)

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1174877484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 INGRAM RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 INGRAM RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393717",
            "telephone_number": "410-905-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "GILLIAN",
        "middle_name": "KEMBA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian E Greever, COTA
• Peter C Gregg, MD
• Francois Jacques Gregoire, MD
• Lisa Josephine Gregorcyk, MD
• Gregory Walker MD
• Lauren Gregory, LCPC
• Maggie Judith Gregory
• Megan Cecile Gregory
• Thomas James Gregory, MD
• Yvonne J Gregory, REGISTERED NURSE

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 8, 2012; 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.