Jeanette Alderman Gilles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002777 Issued in GA

Practice address

3633 Wheeler Rd
Augusta, GA 30909-6549

Phone

(706) 432-6866

NPI assigned

May 8, 2023

Last updated

May 8, 2023By 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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment NPD
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiken, SC
  • NPI 1114622693

  Clinical, GA

  Medicare reassignment NPD
• Serene Health Ipa

  • Psychiatric/Mental Health Nurse Practitioner
  • Aiken, SC
  • NPI 1235950080
  NPD
• Resolution Counseling Professionals

  • Professional Counselor
  • Augusta, GA
  • NPI 1700298270
  NPD (past)

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1790474492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 WOODBERRY CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094487",
            "telephone_number": "706-627-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096549",
            "telephone_number": "706-432-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "JEANETTE",
        "middle_name": "ALDERMAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Henry Gilbert IV, CRNA
• Molly Gilbreath
• Audie Clark Gilchrist, AUD
• Brittany J Gill
• Cole A. Giller, M.D.
• Tiffany Gillians
• Mamie Lee Gilliard
• Ralph A. Gillies, PHD
• Tessa Nicole Gilmore, LMSW
• Elizabeth Gilstrap, PT, DPT

• Clinical Social Worker in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.