MS. IVY GILMORE
NPI 1114596202
Social Worker - Clinical in Washington, DC
About Ms. Ivy Gilmore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. IVY GILMORE (NPI 1114596202) is an individual clinical provider in Washington, District Of Columbia, licensed in Maryland (19419) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Ivy Gilmore 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.
Medicare Billing Reassignment
Medicare enrollment records show Ivy Gilmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Temple Hills, MD 20748
- Reassigned Medicare billing, District of Columbia enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, DC 20018
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 Ivy Gilmore's NPI number?
The NPI number for Ivy Gilmore is 1114596202. It was assigned to this individual provider in the NPPES registry on June 22, 2021.
Where is Ivy Gilmore located?
Ivy Gilmore practices at 2839 31st Pl NE, Washington, DC 20018. The listed phone number is (202) 751-8579.
What is Ivy Gilmore's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ivy Gilmore enrolled in Medicare?
Yes. Ivy 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.
Which organization bills Medicare for Ivy Gilmore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Gilmore reassigns Medicare benefits to Changing Lives Adult & Youth Services (Temple Hills, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivy Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ivy Gilmore was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Ivy Gilmore · NPI 1114596202
Clinical provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since June 22, 2021.
## Identity
- **NPI:** 1114596202 (Entity type: Individual)
- **Enumerated:** June 22, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 19419 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2839 31ST PL NE, Washington, DC 20018-1603
- **Phone:** (202) 751-8579
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Changing Lives Adult & Youth Services (NPI 1902241250, Temple Hills, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** June 22, 2021
- **Other identifiers:** Other 50078633 (DC); Other 19419 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1114596202) · Data from the CMS NPPES public registry.