Deirdre Gilligan, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1682-4706C Issued in AL

Practice address

27 Fernwood CT
Tuscaloosa, AL 35401

Phone

(205) 887-2657

NPI assigned

Mar 15, 2022

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

Other names 1

• Deirdre Mary Gilligan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1982352373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72174",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354072174",
            "telephone_number": "205-887-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FERNWOOD CT",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-887-2657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Fernwood St",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354013639",
            "country_code": "US",
            "telephone_number": "205-342-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "DEIRDRE",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1682-4706C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRE",
            "last_name": "GILLIGAN",
            "middle_name": "MARY",
            "credential": "LICSW, PIP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edie Gilda Gibson, DDS
• William Clay Gibson, DPT
• Emily A Gicewicz, PHARMD
• Jay Gilbreath, PHARM. D.
• Jennifer Latrece Giles, CRNP
• Savannah Johnson Giovane, MD
• Bryan S Givhan, M.D.
• Kathy Taylor Givhan, CRNA
• Courtney Gladwell, CPNP-PC
• Elizabeth Ardoin Glass, CRNP

• Clinical Social Worker in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.