Individual provider Active NPI

Gillian Ruth Chimera-Stass, MSW, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1568664993
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043553 Issued in NY
Practice address
18 Seeley St
Brooklyn, NY 11218-1010
Phone
(917) 620-9400
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R043553 NY Primary

Addresses

Primary practice location

18 Seeley St
Brooklyn, NY 11218-1010

Mailing address

1638 8TH Ave Apt 1C
Brooklyn, NY 11215-6375
Phone (917) 620-9400

Other names 1

  • Ms. Gillian Ruth Chimera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043553NYMDClinical Social Worker
043553NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1568664993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 8TH AVE APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156375",
            "telephone_number": "917-620-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SEELEY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181010",
            "telephone_number": "917-620-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMERA-STASS",
        "first_name": "GILLIAN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GILLIAN",
            "last_name": "CHIMERA",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.