Ja'wann Gillis, CDCA is a
Social Worker based in Defiance, Ohio. Ja'wann Gillis is licensed to practice in * (Not Available) (license number ) and his current practice location is
511 Perry St, Defiance, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 782-9920.
NPI number for Ja'wann Gillis is 1770353229 and his current mailing address is 511 Perry St, Defiance, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770353229.
Healthcare Provider's Profile
| Full Name | Ja'wann Gillis |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 511 Perry St, Defiance, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770353229
- Provider Enumeration Date: 01/05/2024
- Last Update Date: 03/21/2025
Medical Identifiers
Medical identifiers for Ja'wann Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770353229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Ja'wann Gillis 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 |
|---|
Ja'wann Gillis, CDCA
511 Perry St,
Defiance, OH 43512-2123
Ph: () - | Ja'wann Gillis, CDCA
511 Perry St,
Defiance, OH 43512-2123
Ph: (419) 782-9920 |
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