Individual provider · Type 1 NPI

Eliott Gillooly

Clinical Social Worker · Costa Mesa, CA

NPI number 1144801721 Active

Practice location

2900 Bristol St Ste E103
Costa Mesa, CA 92626-7906

Call (714) 814-3336 Map

Mailing address

PO Box 95
Long Beach, CA 90801-0095

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X140350 (CA)

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…

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About NPI 1144801721

Eliott Gillooly's National Provider Identifier is 1144801721, issued on Apr 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 31, 2026.