Linda Diane Gilliam, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

05068 Issued in TX

Practice address

8905 Jonquil
Waco, TX 76708-5716

Phone

(254) 717-3328

Fax

(254) 755-6001

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871647495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 JONQUIL",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767085716",
            "telephone_number": "254-717-3328",
            "fax_number": "254-755-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 JONQUIL",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767085716",
            "telephone_number": "254-717-3328",
            "fax_number": "254-755-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "LINDA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "05068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Kay Giles, FNP
• Craig Allen Gill, MD
• John H Gill, MD
• James T. Gilley, M.D.
• Bradley Dale Gilliam, M.D.
• Sunny Gilliam, APRN, FNP-C
• Matthew Gillings, MD
• Marisa Gingerich, FNP-C
• Teresa Sebastian Gingles, PT, DPT
• Michelle Elizabeth Girard, MS CCC-SLP

• Clinical Social Worker in Waco, TX
• Providers in Waco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.