Active NPI
Aglaed M Gillis, LMSW
- Social Worker
- Fort Belvoir, VA
National Provider Identifier
1376809780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW004742
- Practice address
- 5815 20TH St
BLDG 213 Suite 211
Fort Belvoir, VA 22060-5523 - Phone
- (703) 805-5588
- Fax
- (703) 805-1065
- NPI assigned
- Apr 10, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW004742 | GA | Primary |
Addresses
Primary practice location
5815 20TH St
BLDG 213 Suite 211
Fort Belvoir, VA 22060-5523
Mailing address
P.O. Box 73
Fort Belvoir, VA 22060-0073
Phone (404) 626-2048
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 |
|---|---|---|---|
| MSW004742 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334016000000",
"number": "1376809780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 73",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220600073",
"telephone_number": "404-626-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 20TH ST",
"address_2": "BLDG 213 SUITE 211",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605523",
"telephone_number": "703-805-5588",
"fax_number": "703-805-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "AGLAED",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW004742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.