Charles M. Gillikin III, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05200200 Issued in NJ

Practice address

91 E Somerset St Ste 3
Raritan, NJ 08869-2129

Phone

(908) 304-5161

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1518081090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E SOMERSET ST STE 3",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088692129",
            "telephone_number": "908-304-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E SOMERSET ST STE 3",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088692129",
            "telephone_number": "908-304-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIKIN",
        "first_name": "CHARLES",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05200200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518081090",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summer R Forte, LSW
• Susan Eileen Foster, OTR
• Katie Ann Freyberger, PT, DPT, LAT, ATC
• FS Somerset, LLC
• Varsha Shailesh Gala
• Caren Jill Goldstein, APN
• Deborah E Goodhart, C.O.T.A.
• Arlene Michelle Goodman, M.D.
• Sarah June Gordon, PT, DPT
• Allison Graves, PA-C

• Clinical Social Worker in Raritan, NJ
• Providers in Raritan, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.