Individual provider Active NPI

Nancy G Gill, LICSW

  • Social Worker
  • Westford, MA
National Provider Identifier
1437173432
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110610 Issued in MA
Practice address
319 Littleton Road
Suite 108
Westford, MA 01886-4126
Phone
(978) 413-7468
Fax
(978) 649-6773
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110610 MA
Social Worker 104100000X 110610 MA Primary

Addresses

Primary practice location

319 Littleton Road
Suite 108
Westford, MA 01886-4126

Mailing address

440 Middlesex Rd
#258
Tyngsboro, MA 01879-1070
Phone (978) 413-7468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019001058 MA Practitioner - Clinical Social Worker 8729004668 Practice locations: Chelmsford, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1437173432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MIDDLESEX RD",
            "address_2": "#258",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791070",
            "telephone_number": "978-413-7468",
            "fax_number": "978-649-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LITTLETON ROAD",
            "address_2": "SUITE 108",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018864126",
            "telephone_number": "978-413-7468",
            "fax_number": "978-649-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "NANCY",
        "middle_name": "G",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110610",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "110610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.