Jamila Monique Gilliam, LMSW
Individual provider Active NPI Social Worker · Plano, TX
NPI 1386992188 · NPPES record last updated Feb 5, 2022
Key facts
- NPI
- 1386992188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 56214 (TX)
- Practice address
- 9603 Custer Rd # 1221
Plano, TX 75025-6516 - Phone
- (817) 460-9308
- NPI assigned
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56214 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arden House LLC | Social Worker | Current | Accepting new patients |
| Cornerstone Supported Living | Case Manager/Care Coordinator | Past |
Accepting new patients |
| Amethyst Counseling and Case Management | Social Worker | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 56214 | TX | Yes |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
9603 Custer Rd # 1221
Plano, TX 75025-6516
Mailing address
9603 Custer Rd Apt 1221
Plano, TX 75025-6516
Phone (817) 460-9308
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | . |
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.