Jeffrey D Gill, LCSW
Individual provider Active NPI Clinical Social Worker · Oakland, FL
NPI 1972643674 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1972643674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW3983 (FL)
- Practice address
- 301 N Tubb St
Oakland, FL 34760-9055 - Phone
- (407) 877-8074
- Fax
- (407) 674-2279
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050607000439 | FL | Practitioner - Clinical Social Worker | 1951344357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW0003983 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Orange Counseling LLC | Psychologist | Current |
Accepting new patients |
Locations
301 N Tubb St
#1225
Oakland, FL 34760
301 N Tubb St
Oakland, FL 34760
Phone (407) 877-8074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SW0003983 | FL | |
| Clinical Social Worker | 1041C0700X | SW3983 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130088500 | Medicaid | FL |
Other providers in Oakland, FL
- Kalyn Dreiling
- Enhanced Medical Solutions LLC
- Elizabeth Ashley Farr
- Maja Ann Florentine
- Florida Healthcare Advocates, LLC
- Renee Goehring
- Jordan Shawn Goodman
- Cheryl Mae Lozano Granada
- Paige Bari Hauser
- Isobel Haynes
All providers in Oakland, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.