Jillessa Fiorillo, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58312 Issued in TX

Practice address

211 E 7TH Ave Ste A220
Eugene, OR 97401-3090

Phone

(541) 242-0485

NPI assigned

Nov 26, 2014

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

Other names 1

• Jillessa Gammon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1396142972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 7TH AVE STE A220",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013090",
            "telephone_number": "541-242-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH AVE STE A220",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013090",
            "telephone_number": "541-242-0485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631-D East 2nd Street",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78702",
            "country_code": "US",
            "telephone_number": "512-804-3600",
            "fax_number": "512-476-1469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIORILLO",
        "first_name": "JILLESSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "58312",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLESSA",
            "last_name": "GAMMON",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Finke, LMSW
• Malvin Hilary Finkelstein, O.M.D.,L.AC.
• Patrick Jamison Finn, DDS
• Eden Finney
• Jon Fiori
• Joseph Anthony Fiorillo, M.D.
• First Responder LPC, LLC
• Bailey Fischer
• Claudia Fischer, CNS
• Katherine B Fischer

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.