Gillian Nicole Farrell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61371230 Issued in WA

Practice address

260 Kala Point Dr Ste 102
Port Townsend, WA 98368-9530

Phone

(360) 698-5883

Fax

(360) 809-6002

NPI assigned

Jun 14, 2019

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 WA

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCS Counseling Group LLCGroup PAC ID 8224485131, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• MCS Counseling Group LLC

  • Mental Health Counselor
  • Silverdale, WA
  • NPI 1740727494
  Medicare reassignment Care Compare group NPD
• Behavior Management Systems, Inc.

  • Community/Behavioral Health Agency
  • Rapid City, SD
  • NPI 1295878122
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1871153650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 NW RANDALL WAY STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837847",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 KALA POINT DR STE 102",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689530",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3888 NW Randall Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983837847",
            "country_code": "US",
            "telephone_number": "360-698-5883",
            "fax_number": "360-809-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "GILLIAN",
        "middle_name": "NICOLE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61371230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen T Erickson, MD
• Todd A. Erickson, CRNA
• Monique Ermine
• Evergreen Nutrition Services PLLC (Quimper Lactation)
• Ellen Falconer, LMP
• Aaron Joseph Feit, LICSW
• Carma Feland, M.S.
• Leanne Felts
• Marilyn Freida Fenn, MA, LMFT
• Mary Sarah Ferguson, M.D.

• Clinical Social Worker in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.