Grace Gillenwater, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64575 Issued in TX

Practice address

3206 Longmire Dr Ste A36
College Station, TX 77845-5858

Phone

(979) 406-5808

NPI assigned

Jan 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart of Texas Therapy Services PLLC

  • Mental Health Counselor
  • College Station, TX
  • NPI 1417725078
  NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1265244636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A36",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "979-406-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 LONGMIRE DR STE A36",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455858",
            "telephone_number": "979-406-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLENWATER",
        "first_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64575",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Giglotti
• Belinda Dianne Gilbert
• Jerry H Gilbert, MD
• Shelby Gilbert
• Stacy Lynn Gilbert
• David Paul Gillett, MD
• Annie Gilliam, DO
• Brady Gillum, OTR
• Christopher Girtz, LMT
• Thuong Le Gist, O.D.

• Clinical Social Worker in College Station, TX
• Providers in College Station, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.