Individual provider · Type 1 NPI

Mason Gilmore

Clinical Social Worker · Indianapolis, IN

NPI number 1356291223 Active

Practice location

7150 Clearvista Dr
Indianapolis, IN 46256-4699

Mailing address

725 Washington St Apt 3
Columbus, IN 47201-6233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1356291223

Mason Gilmore's National Provider Identifier is 1356291223, issued on Jan 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 30, 2026.