NPI
Audra N Gillis
NPI 1083805451
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MSW
- Type
- Individual
- Enumeration date
- 2007-08-09
- Last updated
- 2011-09-07
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Specialties
Licenses
- License MD
- 13071
- License DC
- LC50078183
Location
- Practice location
- 1701 Enterprise Rd
- City
- Mitchellville MD
- Postal code
- 20721-2213
- Phone
- (301) 442-1990
- Fax
- (301) 627-1806
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinical Social Workers in Mitchellville, MD. 6 with this primary taxonomy in the public file.
Other NPIs in Mitchellville, MD. 209 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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