Individual provider Active NPI

Marjorie Gill, LCSW

  • Clinical Social Worker
  • Harrodsburg, KY
National Provider Identifier
1811288798
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1744 Issued in KY
Practice address
100 S Main St
Suite B
Harrodsburg, KY 40330-1633
Phone
(502) 545-1972
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1744 KY Primary

Addresses

Primary practice location

100 S Main St
Suite B
Harrodsburg, KY 40330-1633

Mailing address

1501 Gilberts Creek Rd
Lawrenceburg, KY 40342-9237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20140523000824 KY Practitioner - Clinical Social Worker 2860615648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children and Family Counseling AssociatesGroup PAC ID 2264530575, 4 clinicians

Practice addresses (Care Compare)

100 S Main St
Harrodsburg, KY 40330-1633
Phone (859) 613-8178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cafca Cares, Inc. CurrentSince Jan 17, 2022 Accepting new patients

Locations

100 S Main St
Harrodsburg, KY 40330
Phone (859) 613-8178

100 S Main St
Ste B
Harrodsburg, KY 40330
Phone (502) 545-1972

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1811288798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 GILBERTS CREEK RD",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "SUITE B",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301633",
            "telephone_number": "502-545-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MARJORIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrodsburg, KY

Sources for this page

Verify at the official NPI Registry.