Active NPI
Corina Maria Gillett, LICENSED CLINICAL SO
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1760575799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7809-C
- Practice address
- 4875 Broadway Ste 125
Sacramento, CA 95820-1500 - Phone
- (916) 874-3661
- Fax
- (916) 875-1190
- NPI assigned
- Oct 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 13741 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW24446 | CA | |
| Clinical Social Worker | 1041C0700X | 7809-C | NV | Primary |
Addresses
Primary practice location
4875 Broadway Ste 125
Sacramento, CA 95820-1500
Mailing address
775 Fleischmann Way BHS Outpatient
Carson City, NV 89703
Phone (775) 445-7756
Other names 1
- Corina Maria Gillett
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 |
|---|---|---|---|
| ASW 13741 | CA | MD | Clinical Social Worker |
| LCSW24446 | CA | MD | Clinical Social Worker |
| 7809-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1760575799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 FLEISCHMANN WAY BHS OUTPATIENT",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "89703",
"telephone_number": "775-445-7756",
"fax_number": "775-841-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 BROADWAY STE 125",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201500",
"telephone_number": "916-874-3661",
"fax_number": "916-875-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETT",
"first_name": "CORINA",
"middle_name": "MARIA",
"credential": "LICENSED CLINICAL SO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 13741",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW24446",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7809-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORINA",
"last_name": "GILLETT",
"middle_name": "MARIA",
"credential": "LICENSED CLINICAL SO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.