Tory B Gildred, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60179615 Issued in WA

Practice address

4328 Baker Ave NW
Seattle, WA 98107-4349

Phone

(858) 829-1899

NPI assigned

Sep 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1528675147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 BAKER AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074349",
            "telephone_number": "858-829-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 BAKER AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074349",
            "telephone_number": "858-829-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDRED",
        "first_name": "TORY",
        "middle_name": "B",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006246",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60179615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Alexander Gilchrist, PH.D.
• Kathryn Hogan Gilchrist, RD
• Holly R Gilday, RD
• Katherine Grace Gildenhar, RN
• Currissa Gildon
• Gile, Nov, Fernyough PLLC
• Julianna Marguerite Giles, ND
• Katherine Elizabeth Yun Chee Giles, PHARM. D.
• Marian Claire Giles, MBBS
• Tera Mae D Giles, ARNP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

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