Individual provider Active NPI

Janelle Gillis, LCSW

  • Clinical Social Worker
  • Irving, TX
National Provider Identifier
1184106502
Registry record updated Aug 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110743 Issued in TX
Practice address
1425 Greenway Dr Ste 360
Irving, TX 75038-2447
Phone
(346) 584-4858
NPI assigned
Sep 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014607 NC
Clinical Social Worker 1041C0700X C015858 NC
Clinical Social Worker 1041C0700X 110743 TX Primary

Addresses

Primary practice location

1425 Greenway Dr Ste 360
Irving, TX 75038-2447

Mailing address

1425 Greenway Dr Ste 360
Irving, TX 75038-2447
Phone (346) 584-4858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20230612002462 NC Practitioner - Clinical Social Worker 3779940465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P014607NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Mar 31, 2023 Accepting new patients
Monarch CurrentSince Mar 31, 2023 Accepting new patients
Monarch Current Accepting new patients
Truth Counseling and Wellness PLLC Clinical CurrentSince Apr 27, 2025 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

3057 Freedom Dr
Charlotte, NC 28208
Phone (704) 334-2226

301 S McDowell St
Ste 1251804
Charlotte, NC 28204
Phone (704) 964-6502

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1184106502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 GREENWAY DR STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382447",
            "telephone_number": "346-584-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 GREENWAY DR STE 360",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382447",
            "telephone_number": "346-584-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "JANELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015858",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.