JAMIE LAUREN MCGILLIS ACSW
NPI 1407347248
Counselor - Professional in Modesto, CA
- Individual
- Female
- Counselor
- Professional
About JAMIE MCGILLIS
This page provides the complete NPI Profile along with additional information for Jamie Mcgillis, a provider established in Modesto, California with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1407347248 assigned on May 2018. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1407347248 Verify this NPI
- Provider Name
- JAMIE LAUREN MCGILLIS ACSW
- Other Name
- JAMIE LAUREN GEORGE MSW
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1620 CUMMINS DR MODESTO, CA 95358
- Location Phone
- (209) 576-1750
- Mailing Address
- 1620 CUMMINS DR MODESTO, CA 95358
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-29-2018
- Last Update Date
- 07-15-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407347248, enumerated as an "individual" on May 29, 2018.
The provider is located at 1620 CUMMINS DR MODESTO, CA 95358 and the phone number is (209) 576-1750.
Counselor with taxonomy code 101YP2500X and a focus in Professional.