NPI 1104830785

Mark Clifford Gillen, LPC

Practitioner Clinical Social Worker Ellsworth, WI

Practice location

Address: 257 N Piety St, Ellsworth, WI 54011-5056
Phone: (715) 425-3890

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 3992-123 (WI)

Other Social Worker providers in Wisconsin →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 913-125 (WI)

Other Counselor providers in Wisconsin →

Registry record

NPI: 1104830785
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.