Active NPI
Gillian Hadlock, MSW
- Clinical Social Worker
- Lebanon, IN
National Provider Identifier
1619200193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006476A
- Practice address
- 1005 S Meridian St
Lebanon, IN 46052-2784 - Phone
- (765) 482-7421
- Fax
- (765) 482-7462
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 34006476A | IN | Primary |
Addresses
Primary practice location
1005 S Meridian St
Lebanon, IN 46052-2784
Mailing address
3259 W 48TH St
Indianapolis, IN 46228-2103
Phone (617) 680-3277
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34006476A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Cummins Behavioral Health Systems, Incorporated | Past | Accepting new patients |
Interoperability endpoints
- gillianhadlock@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avon, IN
- NPI 1740232115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1619200193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3259 W 48TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462282103",
"telephone_number": "617-680-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 S MERIDIAN ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460522784",
"telephone_number": "765-482-7421",
"fax_number": "765-482-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADLOCK",
"first_name": "GILLIAN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006476A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.