GINA DIANE GILLS (NPI# 1851604938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851604938 |
| Entity Type | Individual |
| Full Name | GINA DIANE GILLS |
| Credential | MSW, LCSW |
| Practice Address |
3450 Broadway St Boulder CO 80304 |
| Mailing Address |
405 W Cannon St Lafayette CO 80026-1611 |
| Practice Telephone | 3034411100 |
| Mailing Telephone | 7203188866 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1221 | CO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3450 Broadway St, Boulder, CO 803041824 | 3034411100 | |
| 80 Garden Ctr Ste 46, Broomfield, CO 800201777 | 7203188866 |
| Street Address |
3450 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346324530 | Samuel Widd Medford Jr. | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2006-10-24 |
| 1881002574 | Catherine Ruth Abel | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-26 |
| 1962819797 | Judith Anne Voorhees Brown | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-14 |
| 1134535420 | Michele Ryan | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-08 |
| 1558777144 | Paul Egan Jr. | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-03 |
| 1114333796 | Michael Mack | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-03 |
| 1124434774 | Natasha Stackhouse | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-03 |
| 1588070361 | James Mcmillan | Counselor | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-07-01 |
| 1366857120 | Abby Hulser | Community/Behavioral Health | 3450 Broadway St, Boulder, CO 80304-1824 | 2014-06-30 |
| 1487069357 | Patrick Leonard Jeter | Counselor | 3450 Broadway St, Boulder, CO 80304-1899 | 2014-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1821603085 | Timothy Kleinknecht | Social Worker | 3250 Oneal Cir Apt J36, Boulder, CO 80301-1469 | 2020-09-14 |
| 1831708205 | Center for Valued Living, Pllc | Social Worker | 2825 Marine St Ste 204, Boulder, CO 80303-1027 | 2020-07-30 |
| 1528688140 | Eandd, LLC | Social Worker | 1320 Ithaca Dr, Boulder, CO 80305-6334 | 2020-04-23 |
| 1720639065 | Melissa Thompson | Social Worker | 6007 Oreg Ave, Boulder, CO 80303-1314 | 2019-09-27 |
| 1609426469 | Cathy Summer | Social Worker | 350 Ponca Place, Suite 250, Boulder, CO 80303-3875 | 2019-09-13 |
| 1578126264 | Lenora Rae Schlosser | Social Worker | 2653 Juniper Ave, Boulder, CO 80304-2459 | 2019-04-17 |
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1720545148 | Ann Weatherby | Social Worker | 1249 Harrison Ct, Boulder, CO 80303-1138 | 2019-02-21 |
| 1700359460 | Sarah Corrie Shapiro | Social Worker | 121 Kelly Rd E, Boulder, CO 80302-9670 | 2019-01-05 |
| Find all providers in BOULDER | ||||
Please comment or provide details below to improve the information on GINA DIANE GILLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.