Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Ivy Gilmore

Individual provider Clinical Social Worker · NPI 1114596202

MS. Ivy Gilmore is a Clinical Social Worker in Washington, District of Columbia. Qualified in 1995, 31 years ago. Practices with Changing Lives Adult and Youth Services, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
31
Licensed in
MD
In the registry since
2021
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Practice location Address checks out

2839 31st Pl NE
Washington, DC 20018-1603
Phone: (202) 751-8579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 19419 (MD)

Record details

NPI number1114596202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Changing Lives Adult And Youth Services — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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