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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK CLIFFORD GILLEN, LPC

Active Sole Proprietor

DR. MARK CLIFFORD GILLEN, LPC is a Clinical Social Worker healthcare provider located in ELLSWORTH, Wisconsin. NPI 1104830785 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ELLSWORTH, WI

Registration Details

NPI Number
1104830785
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2006 (20.006967786894 yrs)
Last Updated
Sep 11, 2025
Licenses
913-125 (WI)
3992-123 (WI)
Sole Proprietor
Yes

Practice Information

Address
257 N PIETY ST
ELLSWORTH, WI, 540115056
Browse WI providers · Browse ZIP 54011
Phone
7154253890
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ELLSWORTH, WI

Name Credential NPI
MARGUERITE M ANDERSON LICSW 1285707190
BRIDGET MARIE MCCONNELL LCSW, LICSW 1780805218
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.