Provider Demographics
NPI:1427609254
Name:GILLINS, JIONNA NICOLE (MSW, LSW)
Entity type:Individual
Prefix:
First Name:JIONNA
Middle Name:NICOLE
Last Name:GILLINS
Suffix:
Gender:
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:JIONNA
Other - Middle Name:
Other - Last Name:BODRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:182 RUNNEMEDE DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6637
Mailing Address - Country:US
Mailing Address - Phone:330-770-9839
Mailing Address - Fax:
Practice Address - Street 1:711 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1039
Practice Address - Country:US
Practice Address - Phone:330-793-2487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.16007691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical