Active NPI
Sheila Anne Gillin, LSW
- Clinical Social Worker
- Wayne, PA
National Provider Identifier
1992935191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW012188L
- Practice address
- 141 W Wayne Ave
Wayne, PA 19087-4018 - Phone
- (610) 247-1889
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW012188L | PA | Primary |
Addresses
Primary practice location
141 W Wayne Ave
Wayne, PA 19087-4018
Mailing address
141 W Wayne Ave
Wayne, PA 19087-4018
Phone (610) 247-1889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW012188L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Behavioral Healthcare Group Inc | Past | Accepting new patients | |
| Senior Behavioral Healthcare Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Ardmore, PA
- NPI 1497914089
-
- Cognitive & Behavioral Psychologist
- Ardmore, PA
- NPI 1013930221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1992935191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 W WAYNE AVE",
"city": "WAYNE",
"state": "PA",
"postal_code": "190874018",
"telephone_number": "610-247-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 W WAYNE AVE",
"city": "WAYNE",
"state": "PA",
"postal_code": "190874018",
"telephone_number": "610-247-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIN",
"first_name": "SHEILA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "SW012188L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.