ANGELA GILLES (NPI# 1861937955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861937955 |
| Entity Type | Individual |
| Full Name | ANGELA GILLES |
| Other Name | ANGELA BLACK |
| Credential | LCSW |
| Practice Address |
6919 N Knoxville Ave Ste 100 Peoria IL 61614 |
| Mailing Address |
6919 N Knoxville Ave Ste 100 Peoria IL 61614-2858 |
| Practice Telephone | 3099660068 |
| Practice Fax Number | 3099660266 |
| Mailing Telephone | 3099660068 |
| Mailing Fax Number | 3099660266 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-08-08 |
| NPI Deactivation Date | 03/08/2018 |
| NPI Reactivation Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149019012 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770539611 | Angela J Gilles | Nurse Practitioner | 411 Maxine Dr, Morton, IL 61550-2495 | 2006-05-25 |
| Street Address |
6919 N KNOXVILLE AVE STE 100 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559174 | Melissa Ann Millinger | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614-2858 | 2020-05-14 |
| 1790278257 | Heidi M Vanheuklon | Counselor | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614-2858 | 2018-06-10 |
| 1083125298 | Melissa Shane Counseling Services LLC | Community/Behavioral Health | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614-2858 | 2017-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| 1801227707 | Vikram Shah | Pharmacist | 801 W Lake Street, Kroger Pharmacy, Peoria, IL 61614 | 2013-12-03 |
| Find all providers in zip 61614 | ||||
| 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 |
|---|---|---|---|---|
| 1447857305 | Kelsey Hardy | Social Worker | 306 Pecan St, Peoria, IL 61602-1662 | 2020-10-05 |
| 1821608985 | Jozie Allen | Social Worker | 1001 Main St Ste 107, Peoria, IL 61606-1907 | 2020-08-04 |
| 1811533276 | Portia Elizabeth Adams | Social Worker | 712 E War Memorial Dr, Peoria, IL 61616-7548 | 2019-11-20 |
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1205498573 | Leith Elan Bucher | Social Worker | 1801 W Gardenia Dr Apt 13312, Peoria, IL 61615-7098 | 2019-07-08 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1568934164 | Venus E Evans-winters | Social Worker | 4507 N Sterling Ave Ste 201, Peoria, IL 61615-3861 | 2018-12-19 |
| 1700301058 | Lisa Gail Childers | Social Worker | 508 W Timber Ridge Dr, Peoria, IL 61615-2057 | 2017-08-08 |
| 1538608690 | Phoenix Wellness, LLC | Social Worker | 2020 W War Memorial Dr, Ste 304, Peoria, IL 61614-6754 | 2017-02-21 |
| 1033654272 | Stephanie Henry | Social Worker | 6726 W Brown St, Peoria, AZ 85345-6872 | 2016-12-26 |
| Find all providers in PEORIA | ||||
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| 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.