Individual provider Active NPI

Jeffrey Scott Gillig, LMSW

  • Clinical Social Worker
  • Marlette, MI
National Provider Identifier
1972847150
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092709 Issued in MI
Practice address
3090 Main St
Marlette, MI 48453-1279
Phone
(810) 441-4239
NPI assigned
Nov 12, 2012
Last updated
May 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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 6801092709 MI Primary

Addresses

Primary practice location

3090 Main St
Marlette, MI 48453-1279

Mailing address

3090 Main St
Suite 4
Marlette, MI 48453-1279
Phone (989) 912-0257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130520000703 MI Practitioner - Clinical Social Worker 4688812274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3090 Main St
Suite 4
Marlette, MI 48453-1279
Phone (989) 912-0257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092709MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of the Thumb Counseling Services, LLC Clinical CurrentSince May 1, 2017 Accepting new patients

Locations

3090 Main St
Ste 4
Marlette, MI 48453
Phone (810) 441-4239

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": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1972847150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 MAIN ST",
            "address_2": "SUITE 4",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531279",
            "telephone_number": "989-912-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531279",
            "telephone_number": "810-441-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIG",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-12",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlette, MI

Sources for this page

Verify at the official NPI Registry.