Active NPI
Stephany Gillie
- Social Worker
- Phoenix, AZ
National Provider Identifier
1750151908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-20674
- Practice address
- 400 N 32ND St
Phoenix, AZ 85008-6205 - Phone
- (602) 815-1792
- NPI assigned
- Jan 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-20674 | AZ | Primary |
Addresses
Primary practice location
400 N 32ND St
Phoenix, AZ 85008-6205
Mailing address
1100 N Priest Dr Apt 2046
Chandler, AZ 85226-1022
Phone (414) 510-3853
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-20674 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1750151908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N PRIEST DR APT 2046",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852261022",
"telephone_number": "414-510-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 32ND ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086205",
"telephone_number": "602-815-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIE",
"first_name": "STEPHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-20674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.