Tory B Gildred, LICSW is a
Social Worker - Clinical based in Seattle, Washington. Tory B Gildred is licensed to practice in Washington (license number LW60179615) and her current practice location is
4328 Baker Ave Nw, Seattle, Washington. She can be reached at her office (for appointments etc.) via phone at
(858) 829-1899.
NPI number for Tory B Gildred is 1528675147 and her current mailing address is 4328 Baker Ave Nw, Seattle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528675147.
Healthcare Provider's Profile
| Full Name | Tory B Gildred |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4328 Baker Ave Nw, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528675147
- Provider Enumeration Date: 09/28/2020
- Last Update Date: 09/28/2020
Medical Identifiers
Medical identifiers for Tory B Gildred such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528675147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00006246 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60179615 (Washington) | 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. Tory B Gildred 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 |
|---|
Tory B Gildred, LICSW
4328 Baker Ave Nw,
Seattle, WA 98107-4349
Ph: (858) 829-1899 | Tory B Gildred, LICSW
4328 Baker Ave Nw,
Seattle, WA 98107-4349
Ph: (858) 829-1899 |
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