GINA DIANE GILLS


Address: 3450 Broadway St, Boulder, CO 80304
Phone: 3034411100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1221 CO Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3450 Broadway St, Boulder, CO 803041824 3034411100
80 Garden Ctr Ste 46, Broomfield, CO 800201777 7203188866

Office Location

Street Address 3450 BROADWAY ST
City BOULDER
State CO
Zip Code 80304

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BOULDER
Zip Code 80304

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Dataset Information

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.

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