MARY L A GILLIAM LCSW
NPI 1518347343
Social Worker - Clinical in Fontana, CA

Active since June 06, 2015
17284 SLOVER AVE, SUITE #105, FONTANA, CA 92337(909) 609-2800(909) 609-3805 Get Directions Write a Review

NPPES record last updated: June 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary L A Gilliam Lcsw NPPES

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

MARY L A GILLIAM LCSW (NPI 1518347343) is an individual clinical provider in Fontana, California, licensed in California (LCS14326) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1518347343
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY L A GILLIAMCredential: LCSW
Location Address17284 SLOVER AVE, SUITE #105Fontana, CA 92337-7584
Mailing Address17284 Slover Ave, Suite #105Fontana, CA 92337-7584 · (909) 609-2800 · Fax (909) 609-3805
Fax(909) 609-3805
Sole ProprietorYes
Enumeration DateJune 6, 2015
NPI 1518347343 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 CA · LCS14326
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.
17284 SLOVER AVE, Fontana, CA 92337

Other Providers at the Same Location NPPES 20

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

Family Medicine
17284 SLOVER AVE
FONTANA, CA 92337
Family Medicine
17284 SLOVER AVE
FONTANA, CA 92337
Hospice Care, Community Based
17284 SLOVER AVE
FONTANA, CA 92337
Physical Therapist
17284 SLOVER AVE
FONTANA, CA 92337
Social Worker (Clinical)
17284 SLOVER AVE
FONTANA, CA 92337
Pharmacist (Oncology)
17284 SLOVER AVE
FONTANA, CA 92337
Pharmacist
17284 SLOVER AVE, PHARMACY ADMINISTRATION - SUITE 204
FONTANA, CA 92337
Pharmacist
17284 SLOVER AVE
FONTANA, CA 92337

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 Mary Gilliam's NPI number?

The NPI number for Mary Gilliam is 1518347343. It was assigned to this individual provider in the NPPES registry on June 6, 2015.

Where is Mary Gilliam located?

Mary Gilliam practices at 17284 Slover Ave Suite #105, Fontana, CA 92337. The listed phone number is (909) 609-2800.

What is Mary Gilliam's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Gilliam was last updated on June 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.