Dr Mark Clifford Gillen, LPC is a
Social Worker - Clinical based in Ellsworth, Wisconsin. Dr Mark Clifford Gillen is licensed to practice in Wisconsin (license number 3992-123) and his current practice location is
257 N Piety St, Ellsworth, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 425-3890.
NPI number for Dr Mark Clifford Gillen is 1104830785 and his current mailing address is 257 N Piety St, Ellsworth, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104830785.
Healthcare Provider's Profile
| Full Name | Dr Mark Clifford Gillen |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 257 N Piety St, Ellsworth, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104830785
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mark Clifford Gillen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104830785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 913-125 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 3992-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Clifford Gillen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Clifford Gillen, LPC
257 N Piety St,
Ellsworth, WI 54011-5056
Ph: () - | Dr Mark Clifford Gillen, LPC
257 N Piety St,
Ellsworth, WI 54011-5056
Ph: (715) 425-3890 |
Reviews and Comments