Jaril Faith Gallup
Jaril Faith Brandt · Social Worker (Clinical)

Address: 5101 Washington Street, Suite 1113, Gurnee, IL 60031
Phone: 8479625234

Jaril Faith Gallup (NPI# 1487683868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1487683868
Entity Type Individual
Full Name Jaril Faith Gallup
Other Name Jaril Faith Brandt
Credential LCSW
Gender Female
Practice Address 5101 Washington Street
Suite 1113
Gurnee
IL 60031
Practice Telephone 8479625234
Practice Fax Number 8472612704
Mailing Address 5101 Washington Street
Suite 1113
Gurnee
IL 60031
Mailing Telephone 8479625234
Mailing Fax Number 8472612704
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-30
Last Update Date 2012-09-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers 149-008819 IL

Physician Overview

NPI 1487683868
PAC ID by PECOS 5496768616
Professional Enrollment ID I20060711000025
Full Name Jaril F Gallup
Phone Number 8479625234
Gender F
Graduation Year 1996
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932748506 Austin Tyus-michalak Social Worker 597 Pine Grove Ave, Gurnee, IL 60031-2964 2019-12-31
1326466061 Eric Pressel Social Worker 5384 Arthur Ct, Apt F, Gurnee, IL 60031-6021 2014-03-31
1497092290 Coryn Beth Turner Social Worker 3555 Ellis Ave, Gurnee, IL 60031-2860 2013-01-14
1073884086 Sherie Joy Palmer Social Worker 4174 Lake Park Ave, Gurnee, IL 60031-3033 2012-01-23
1801167309 Emily Anne Eichmeier Social Worker 4212 Old Grand Ave. Gurnee Counseling, Suite 102, Gurnee, IL 60031 2012-01-16
1417102559 Ellen M Belluomini Social Worker 34092 N White Oak Ln, Gurnee, IL 60031-4446 2008-11-17
1639334196 Laurel Sue Haibeck Social Worker 135 N Greenleaf, 204, Gurnee, IL 60031 2008-07-24
1578761987 Heather Maria Howard Social Worker 135 N. Greenleaf Avenue, Suite 230, Gurnee, IL 60031-3371 2007-07-06
1023163938 Sandra Kaeding Social Worker 135 N Greenleaf St Ste 228, Gurnee, IL 60031-3371 2007-01-24
1851449276 Kathaleen Rene Neville Social Worker 135 N Greenleaf Ave, Suite 228, Gurnee, IL 60031 2007-01-08
Find all providers in GURNEE

Office Location

Street Address 5101 WASHINGTON STREET
SUITE 1113
City GURNEE
State IL
Zip Code 60031

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881174720 Rockelle Waggoner Behavior Analyst 489 Tanglewood Dr, Gurnee, IL 60031 2018-08-20
1316434376 Lake County Internal Medicine Assoc LLC Non-Pharmacy Dispensing Site 15 Tower Ct., Ste 190, Gurnee, IL 60031 2018-04-16
1588163364 Advanced Endodontics, PC Dentist 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 2018-02-07
1578081550 Northshore Medical Consultants, Ltd Family Medicine 1425 Hunt Club Rd. #302, Gurnee, IL 60031 2017-08-30
1336678739 Sarah Beth Fugelseth Nurse Practitioner 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 2017-06-08
1174079867 Lifecarepros, LLC In Home Supportive Care 223 North Route 21, Gurnee, IL 60031 2016-09-01
1740733195 Ryan Lee Winslow Chiropractor 6021 Washington St, Unit B, Gurnee, IL 60031 2016-08-02
1891129599 Smart Scan Mri, LLC Clinic/Center 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 2013-08-29
1568720076 Yudelca Romano Genetic Counselor, MS 1125 Tri State Parkway, Gurnee, IL 60031 2012-05-03
1558637348 Laura E Novak Social Worker 4212 Old Grand Avenue, Gurnne, IL 60031 2012-03-27
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Competitor

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City GURNEE
Zip Code 60031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.