Provider Demographics
NPI:1831084060
Name:GASKILL, GENIA S (LMSW)
Entity type:Individual
Prefix:
First Name:GENIA
Middle Name:S
Last Name:GASKILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1785 S MORRISON LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-4862
Mailing Address - Country:US
Mailing Address - Phone:617-913-5761
Mailing Address - Fax:
Practice Address - Street 1:1785 S MORRISON LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-4862
Practice Address - Country:US
Practice Address - Phone:617-913-5761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-22185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health