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MRS. TERESA HOLT GILMORE MSW, LISW
NPI 1114134137
Social Worker - Clinical in Marion, OH

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
264 S MAIN ST, MARION, OH 43302(740) 387-2027(740) 382-8022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Teresa Holt Gilmore Msw, Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TERESA HOLT GILMORE MSW, LISW (NPI 1114134137) is an individual clinical provider in Marion, Ohio, licensed in Ohio (I0008944) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1114134137
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TERESA HOLT GILMORECredential: MSW, LISW
Location Address264 S MAIN STMarion, OH 43302-3933
Mailing Address929 Mount Vernon AveMarion, OH 43302-5402 · (740) 383-3345
Phone(740) 387-2027
Fax(740) 382-8022
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114134137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I0008944
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.
264 S MAIN ST, Marion, OH 43302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Teresa Holt Gilmore Msw, Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395928949
PECOS Enrollment IDI20110321000285
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PAMELA IRENE CONNER LCDC III
Counselor (Addiction (Substance Use Disorder))
264 S MAIN ST
MARION, OH 43302
Marion County (740) 914-5025
JESSICA KAUFMAN LISW
Social Worker (Clinical)
264 S MAIN ST
MARION, OH 43302
Marion County (740) 387-2027
HANNAH WALKER LSW
Social Worker
264 S MAIN ST
MARION, OH 43302
Marion County (740) 387-2027
MR. JOLIET REDMOND LISW-S
Social Worker (Clinical)
264 S MAIN ST
MARION, OH 43302
Marion County (740) 387-2027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Gilmore's NPI number?

The NPI number for Teresa Gilmore is 1114134137. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Teresa Gilmore located?

Teresa Gilmore practices at 264 S Main St, Marion, OH 43302. The listed phone number is (740) 387-2027.

What is Teresa Gilmore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Teresa Gilmore enrolled in Medicare?

Yes. Teresa Gilmore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Teresa Gilmore accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Teresa Gilmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Gilmore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.