Provider Demographics
NPI:1649725011
Name:SOLER, GILLIOUS (LCSW)
Entity type:Individual
Prefix:MR
First Name:GILLIOUS
Middle Name:
Last Name:SOLER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 BELLINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:BUSHKILL
Mailing Address - State:PA
Mailing Address - Zip Code:18324-7754
Mailing Address - Country:US
Mailing Address - Phone:570-442-1755
Mailing Address - Fax:
Practice Address - Street 1:187 BELLINGHAM DR
Practice Address - Street 2:
Practice Address - City:BUSHKILL
Practice Address - State:PA
Practice Address - Zip Code:18324-7754
Practice Address - Country:US
Practice Address - Phone:570-442-1755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY096960OtherPRIVATE PRACTICE