Angela Gilmour, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005228 Issued in VA

Practice address

10372 Democracy LN
Suite B
Fairfax, VA 22030-2522

Phone

(703) 591-2551

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Light Counseling, Inc.Group PAC ID 1052702065, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Light Counseling, Inc.

  • Professional Counselor
  • Forest, VA
  • NPI 1154422764

  Clinical, VA

  Medicare reassignment Care Compare group NPD
• Gilmour Group LLC

  • Clinical Social Worker
  • Burke, VA
  • NPI 1518730027

  Clinical

  NPD Authorized official
• Cornerstone Family Counseling, P.C.

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1770649550
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1467729319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "address_2": "SUITE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522",
            "telephone_number": "703-591-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "address_2": "SUITE B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522",
            "telephone_number": "703-591-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMOUR",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lyn Gillam, Ms, LPC, Atr-BC, LPC, ATR-BC
• Kathleen Marchello Gilliam, LCSW
• Patricia Moyer Gilliam, PMHNP-BC
• Martha M Gillis, PH.D.
• Christine A Gilloon, RD
• Monica Gin, M.D.
• Gina Park LLC
• Ginkgo Art Therapy LLC
• Maryann Giordano, MD
• Upama Giri, MD

• All providers in Fairfax, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.