National Provider Identifier

Ellie Gillam, LMSW

Ellie Gillam, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Penfield, NY and a listed phone number of (585) 944-8199.

NPI 1952251084Penfield, NYSocial Worker

Profile Overview

NPI
1952251084
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
January 29, 2026
Last Updated
January 29, 2026

Practice Location

  • 1745 Penfield RD
  • Penfield, NY 14526-2139

Phone: (585) 944-8199

Mailing Address

  • 1182 Chenango St
  • Binghamton, NY 13901-1653

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1952251084
Entity Type
Individual
Last Name
Gillam
First Name
Ellie
Credential
LMSW
Mailing Street Address
1182 Chenango St
Mailing City
Binghamton
Mailing State
NY
Mailing ZIP Code
13901-1653
Mailing Country
US
Mailing Phone
(607) 772-6904
Practice Street Address
1745 Penfield RD
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2139
Practice Country
US
Practice Phone
(585) 944-8199
Enumeration Date
January 29, 2026
Last Updated
January 29, 2026
Sex
Female
Sole Proprietor
Yes
Certification Date
January 29, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)
Other Identifiers
02997780 (NY)