Peggy Lin Gibble, LCSW, CADC, MISA I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149002526 Issued in IL

Practice address

888 S Roselle Rd
Schaumburg, IL 60193-3965

Phone

(847) 895-4191

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Consultations, Inc.

  • Community/Behavioral Health Agency
  • West Dundee, IL
  • NPI 1164553566

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1013048636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933965",
            "telephone_number": "847-732-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933965",
            "telephone_number": "847-895-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBLE",
        "first_name": "PEGGY",
        "middle_name": "LIN",
        "credential": "LCSW, CADC, MISA I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002526",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "17392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambereen Ghani, M.D.
• Salma Ghayal, PHARMD
• Kamyar Ghazvini
• Karen Ann Giammicchio, APRN AOCNS
• Joseph Liam Gibble-Keenan, LCSW, CADC
• Teresa Marzena Gielczynski, MSW, LCSW, ICDVP
• Brielle Gillespie
• Katherine Gilman, OTD, OTR/L
• Christine See Gin, DDM, MS
• Michael E Ginzburg, DMD

• Clinical Social Worker in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.