Active NPI
James Gilligan, LCSW
- Clinical Social Worker
- Tacoma, WA
National Provider Identifier
1346446002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 6196
- Practice address
- Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431-4892 - Phone
- (253) 968-3339
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 6196 | FL | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Avenue
Tacoma, WA 98431-4892
Mailing address
11054 Misty Ridge Way
Boynton Beach, FL 33437-4892
Phone (561) 733-8398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 6196 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1346446002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11054 MISTY RIDGE WAY",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334374892",
"telephone_number": "561-733-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984314892",
"telephone_number": "253-968-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIGAN",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 6196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.