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DR. DE VIDA GILL LCSW
NPI 1710100508
Social Worker - Clinical in Tustin, CA

Active since April 10, 2007Opted out of Medicare · through Dec 11, 2026
180 E MAIN ST STE 203, TUSTIN, CA 92780(949) 682-2092 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. De Vida Gill Lcsw NPPES

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

DR. DE VIDA GILL LCSW (NPI 1710100508) is an individual clinical provider in Tustin, California, licensed in California (LCS 23243) and active in the NPI registry since April 2007. She has opted out of Medicare through December 11, 2026.

NPPES Registry Identity

NPI1710100508
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. DE VIDA GILLCredential: LCSW
Location Address180 E MAIN ST STE 203Tustin, CA 92780-4414
Mailing Address2913 El Camino Real # 129Tustin, CA 92782-8909 · (949) 682-2092
Phone(949) 682-2092
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJanuary 31, 2020
✔ NPI 1710100508 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 · LCS 23243
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.
180 E MAIN ST STE 203, Tustin, CA 92780
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. De Vida Gill Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 11, 2024 through December 11, 2026.

Opt-Out Effective DateDecember 11, 2024
Opt-Out In Effect ThroughDecember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

KARLA MARIA CHINCHILLA CASTRO ASW
Social Worker (Clinical)
180 E MAIN ST STE 203
TUSTIN, CA 92780
Orange County (877) 421-1711
EMILY RUBENSTEIN
Marriage & Family Therapist
180 E MAIN ST STE 203
TUSTIN, CA 92780
Orange County (949) 415-6799
ALLO INTEGRATIVE HEALTH CENTER
Nurse Practitioner (Family)
180 E MAIN ST STE 203
TUSTIN, CA 92780
Orange County (949) 393-3633

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 De Vida Gill's NPI number?

The NPI number for De Vida Gill is 1710100508. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is De Vida Gill located?

De Vida Gill practices at 180 E Main St Ste 203, Tustin, CA 92780. The listed phone number is (949) 682-2092.

What is De Vida Gill's specialty?

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

Is De Vida Gill enrolled in Medicare?

No. De Vida Gill has opted out of Medicare through December 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for De Vida Gill was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.