Individual provider Active NPI

Jeffrey D Gill, LCSW

  • Clinical Social Worker
  • Oakland, FL
National Provider Identifier
1972643674
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3983 Issued in FL
Practice address
301 N Tubb St
Oakland, FL 34760-9055
Phone
(407) 877-8074
Fax
(407) 674-2279
NPI assigned
Feb 8, 2007
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SW0003983 FL
Clinical Social Worker 1041C0700X SW3983 FL Primary

Addresses

Primary practice location

301 N Tubb St
Oakland, FL 34760-9055

Mailing address

PO Box 1225
Oakland, FL 34760-1225
Phone (407) 877-8074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050607000439 FL Practitioner - Clinical Social Worker 1951344357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 N Tubb St
Oakland, FL 34760-8931
Phone (407) 877-8074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0003983FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Orange Counseling LLC Psychologist CurrentSince Nov 1, 2005 Accepting new patients

Locations

301 N Tubb St
Oakland, FL 34760
Phone (407) 877-8074

301 N Tubb St
#1225
Oakland, FL 34760

Organizations & group practices 1

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1972643674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1225",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347601225",
            "telephone_number": "407-877-8074",
            "fax_number": "407-877-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N TUBB ST",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "347609055",
            "telephone_number": "407-877-8074",
            "fax_number": "407-674-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SW0003983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, FL

Sources for this page

Verify at the official NPI Registry.