| Doctor Name: | MR. CHARLES M. GILLIKIN |
| NPI Number: | 1518081090 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | 44SC05200200 |
| Business Practice Address: | 268 Green Village Rd Suite 13 Green Village, NJ - 079353027 |
| Business Phone Number: | 9733775300 |
| Business Fax Number: | 9082371831 |
| Mailing Address: | 12 Osage Ct, FLEMINGTON |
| State: | NJ |
| Postal Code: | 088227171 |
| Phone Number: | 9082371445 |
| Fax Number: | 9082371831 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SC05200200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |