IndividualActive
Jason Gilliam, LMSW
NPI 1083947832 · Clinical Social Worker · Dewitt, MI
Provider details
- NPI number
- 1083947832
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- License
- 6801096929 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12990 Ontonagon Dr
Dewitt, MI 48820-8658
Phone: (517) 202-3022
Street-level locationGet directions
Mailing address
12990 Ontonagon Dr
Dewitt, MI 48820-8658
Additional practice locations (1)
- 812 E Jolly Rd Ste 311Lansing, MI 48910-6825Phone: (517) 346-8318Fax: (517) 346-8420
Registry dates
- Enumerated
- 2009-09-11
- Last updated
- 2018-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.