Individual provider Active NPI

Gayle Ann Gamauf McCoy, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1023397924
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005820 Issued in IL
Practice address
111 N Wabash Ave Ste 1105
Chicago, IL 60602-3121
Phone
(773) 293-6676
NPI assigned
Aug 9, 2011
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149005820 IL Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 1105
Chicago, IL 60602-3121

Mailing address

848 W Ainslie St Apt 4E
Chicago, IL 60640-3946
Phone (773) 293-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149005820ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1023397924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 W AINSLIE ST APT 4E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403946",
            "telephone_number": "773-293-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023121",
            "telephone_number": "773-293-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMAUF MCCOY",
        "first_name": "GAYLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.