Ms Ivy Gilmore, | |
2839 31st Pl Ne, Washington, DC 20018-1603 | |
(202) 751-8579 | |
Not Available |
Full Name | Ms Ivy Gilmore |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 2839 31st Pl Ne, Washington, District Of Columbia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114596202 | NPI | - | NPPES |
19419 | Other | MD | SOCIAL WORK LICENSE |
50078633 | Other | DC | SOCIAL WORK LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 19419 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Changing Lives Adult And Youth Services | 5395082812 | 5 |
Entity Name | Changing Lives Adult & Youth Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902241250 PECOS PAC ID: 5395082812 Enrollment ID: O20190122002848 |
Mailing Address | Practice Location Address |
---|---|
Ms Ivy Gilmore, 2839 31st Pl Ne, Washington, DC 20018-1603 Ph: (202) 751-8579 | Ms Ivy Gilmore, 2839 31st Pl Ne, Washington, DC 20018-1603 Ph: (202) 751-8579 |
Ms. Alnita I Miller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3230 Pennsylvania Ave Se, Suite # 213, Washington, DC 20020 Phone: 202-583-1181 Fax: 202-583-1186 | |
Ms. Maura A Healy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1935 11th St Nw, #2, Washington, DC 20001 Phone: 202-483-1001 | |
Mrs. Pamela Campbell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7826 Eastern Ave Nw, Suite Ll-18, Washington, DC 20012 Phone: 202-291-0912 | |
Mr. Brandon Joseph Stratford, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Euclid St Nw, Washington, DC 20009 Phone: 202-255-0021 | |
Ms. Ann S. Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2510 Virginia Ave Nw, Washington, DC 20037 Phone: 202-965-5755 | |
James Fletcher Robinson Iv, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3130 Wisconsin Ave Nw, # 716, Washington, DC 20016 Phone: 202-232-5171 | |
Janelle Ayana Phillip, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Irving St Nw, Washington, DC 20422 Phone: 202-745-8000 |