Yurika Takemoto Gillum, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

15819 NE Leary Way Apt D228
Redmond, WA 98052-4343

Phone

(206) 852-5188

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yurika Takemoto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1609008101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15819 NE LEARY WAY APT D228",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524343",
            "telephone_number": "206-852-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15819 NE LEARY WAY APT D228",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524343",
            "telephone_number": "206-852-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLUM",
        "first_name": "YURIKA",
        "middle_name": "TAKEMOTO",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YURIKA",
            "last_name": "TAKEMOTO",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brock James Giannaris, PT
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• Warren Gibbs, M.D.
• Shannon Kaur Gill
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• Jessica Gingrich, RDN
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• Teresa Marie Girolami, MD
• Whitney Given I

• Clinical Social Worker in Redmond, WA
• Providers in Redmond, 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 Aug 17, 2009; 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.