1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Community Behavioral Health
  6. NPI Profile

RUSSELL JEREMY GWILLIAM MA, LMHC
NPI 1346557543
Community/Behavioral Health in Worcester, MA

Active since September 09, 2010
44 FRONT ST, WORCESTER, MA 01608(508) 753-0321 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Jeremy Gwilliam Ma, Lmhc NPPES

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

RUSSELL JEREMY GWILLIAM MA, LMHC (NPI 1346557543) is an individual community/behavioral health provider in Worcester, Massachusetts, licensed in Massachusetts (1745) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1346557543
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameRUSSELL JEREMY GWILLIAMCredential: MA, LMHC
Location Address44 FRONT STWorcester, MA 01608-1733
Mailing Address12 Pineview TrlAuburn, MA 01501-2120 · (508) 864-0839
Phone(508) 753-0321
Sole ProprietorYes
Enumeration DateSeptember 9, 2010
✔ NPI 1346557543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MA · 1745
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
44 FRONT ST, Worcester, MA 01608
Open in Google Maps ↗

Other Providers at the Same Location NPPES 17

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

THOMAS J RUSSELL
Counselor (Addiction (Substance Use Disorder))
44 FRONT ST, SUITE 490
WORCESTER, MA 01608
Worcester County (508) 799-2934
MR. DANA MARK BERGMAN M.ED.
Counselor (Addiction (Substance Use Disorder))
44 FRONT ST, SUITE 490
WORCESTER, MA 01608
Worcester County (508) 753-0321
WILLS CENTER
Community/Behavioral Health
44 FRONT ST, 4TH FLOOR
WORCESTER, MA 01608
Worcester County (508) 799-2934
MARIA LAWSON M.S.
Counselor (Mental Health)
44 FRONT ST
WORCESTER, MA 01608
Worcester County (508) 752-4665
DR. ASHNA KHERA DMD
Dentist (General Practice)
44 FRONT ST
WORCESTER, MA 01608
Worcester County (508) 753-9200
MR. JESSE R MELLOR LADC
Counselor (Addiction (Substance Use Disorder))
44 FRONT ST, 490
WORCESTER, MA 01608
Worcester County (508) 799-2934
K & J DENTAL ASSOCIATES PLLC
Dentist (General Practice)
44 FRONT ST
WORCESTER, MA 01608
Worcester County (508) 753-9200
ANDREY MAZO DMD PC
Dentist (General Practice)
44 FRONT ST
WORCESTER, MA 01608
Worcester County (508) 753-9200

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 Russell Gwilliam's NPI number?

The NPI number for Russell Gwilliam is 1346557543. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Where is Russell Gwilliam located?

Russell Gwilliam practices at 44 Front St, Worcester, MA 01608. The listed phone number is (508) 753-0321.

What is Russell Gwilliam's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Russell Gwilliam was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.