Lanissa Yvette Gilmore, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8863-LM Issued in AR

Practice address

2200 Fort Roots Dr RM 1H112
North Little Rock, AR 72114-1709

Phone

(501) 257-3345

Fax

(501) 257-3060

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1427721158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 KIERRE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721163708",
            "telephone_number": "501-503-8624",
            "fax_number": "501-257-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR RM 1H112",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-3345",
            "fax_number": "501-257-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "LANISSA",
        "middle_name": "YVETTE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "8863-LM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Gibson
• Travis Shade Gilbert, OTA
• Simrit Gill-Chauhan, MD
• Mohammad Danial Gill, MD
• Roger Dean Gillum, MD
• Katrina Denise Ginger-Wiggins, MHPP
• Julie Rae Gingras, BSE
• Tayler Ginn
• Jeffrey Allen Givens, PHARM. D.
• Kathryn Givens

• Social Worker in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.