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NPI Code Detail

MEDICARE: SANDRA S. GILL LCSW

MEDICARE:   SANDRA S. GILL  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLSW0000005088TN
21041C0700XClinical Social Worker32824TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407964117
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA S. GILL LCSW
Provider Business Mailing Address
First Line : 600 ROUND ROCK WEST DR
Second Line : SUITE 606
City : ROUND ROCK
State : TX
Zip : 78681-5007
Country : US
Telephone Number : 512-632-2125
Fax Number : 512-671-9415
Provider Business Practice Location Address
First Line : 6000 S. MOPAC EXPRESSWAY, SUITE 200
Second Line :
City : AUSTIN
State : TX
Zip : 78749-7866
Country : US
Telephone Number : 512-244-4272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 01/28/2021

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Directions to “ SANDRA S. GILL LCSW” Practice Location

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