Provider Demographics
NPI:1750274809
Name:GILLES, KATHERINE P (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:P
Last Name:GILLES
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 M ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3422
Mailing Address - Country:US
Mailing Address - Phone:860-301-3014
Mailing Address - Fax:
Practice Address - Street 1:1730 RHODE ISLAND AVE NW STE 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3146
Practice Address - Country:US
Practice Address - Phone:202-670-0611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040184831041C0700X
DCLC2000038291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical