Ellen C Gillis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105166 Issued in MA

Practice address

129 American Elm Ave
Hanover, MA 02339-1243

Phone

(781) 871-0070

NPI assigned

Aug 26, 2018

Last updated

Aug 26, 2018By the provider in NPPES

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

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": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535241600000",
    "number": "1215418462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 AMERICAN ELM AVE",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391243",
            "telephone_number": "781-871-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 AMERICAN ELM AVE",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391243",
            "telephone_number": "781-871-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "ELLEN",
        "middle_name": "C",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2018-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Garrandes, DMD
• Cynthia J Garrett, LMHC
• Christopher Joseph Geary, MA
• Karen S Gill, MED
• Katherine Gilligan
• Andrea Giordani, PH.D.
• Golden Insight Inc
• Stephen Matthew Goldstein, D.M.D
• Amanda Goodale, P.T.
• Kimberlie M Gordon

• Clinical Social Worker in Hanover, MA
• Providers in Hanover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.