Gabrielle Marie Kilgore, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16252 Issued in MD

Practice address

22 W Padonia Rd Ste C348
Timonium, MD 21093-2243

Phone

(443) 286-9613

NPI assigned

Jun 11, 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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 2, 2024 through Jul 2, 2028

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 and National Provider Directory roles.

• Kindle Growth, LLC

  • Clinical Social Worker
  • Timonium, MD
  • NPI 1194367573
  NPD Authorized official

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1275895864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 ORLANDO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347834",
            "telephone_number": "443-286-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C348",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932243",
            "telephone_number": "443-286-9613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8415 Bellona Ln",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212042055",
            "country_code": "US",
            "telephone_number": "443-286-9613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Khan, M.D
• Meena A Khan, MD
• Kids First Pediatric Dentistry, L.L.C.
• Kids Thrive Therapy
• Kara Leigh Kikuta, OT
• Andrea Kim
• Bo R Kim, DDS
• Jae Il Kim, PHARMD
• Elizabeth S Kimmitt, MD
• Kinder Mender LLC

• Clinical Social Worker in Timonium, MD
• Providers in Timonium, 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 Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.