Individual provider · Type 1 NPI
Audra N. Gillis, MSW
Clinical Social Worker · Mitchellville, MD
Practice location
1701 Enterprise Rd
Mitchellville, MD 20721-2213
Fax (301) 627-1806
Mailing address
16314 Boswell Pl
Upper Marlboro, MD 20772-3286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 13071 (MD) |
| Clinical Social Worker | 1041C0700X | LC50078183 (DC) |
Clinical Social Worker: 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 interpers…
Another provider at this address
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About NPI 1083805451
Audra N. Gillis, MSW's National Provider Identifier is 1083805451, issued on Aug 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mitchellville, MD. The record was last updated on Sep 7, 2011.