Traci Renee Gunnells-Kerzich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011589 Issued in IL

Practice address

2803 Butterfield Rd Ste 200
Oak Brook, IL 60523-1165

Phone

(630) 424-9204

NPI assigned

Jan 29, 2007

Last updated

May 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rosecrance Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1013289446
  NPD
• Rosecrance Inc

  dba Rosecrance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moline, IL
  • NPI 1639892698
  NPD
• Rosecrance, Inc.

  dba Rosecrance Belvidere

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Belvidere, IL
  • NPI 1346521630
  NPD
• Khadija Khan MDSC

  • Child & Adolescent Psychiatry Physician
  • Oak Brook, IL
  • NPI 1831829126
  NPD (past)
• Oakbrook Behavioral Health LTD

  • Psychiatry Physician
  • Downers Grove, IL
  • NPI 1235235730
  NPD (past)
• Summit Center for Mental Health Inc

  • Professional Counselor
  • Joliet, IL
  • NPI 1548274863

  Clinical

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1083750038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W JEFFERSON ST",
            "address_2": "215",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355261",
            "telephone_number": "815-773-0772",
            "fax_number": "815-773-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 BUTTERFIELD RD STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231165",
            "telephone_number": "630-424-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELLS-KERZICH",
        "first_name": "TRACI",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Gruener, LCPC, NCC
• Christine M. Grygiel, MA, LCPC
• Tabitha Guillaume, LCPC
• Leslie Lynn Gum, LCSW
• Larry Charles Gunn, M.D.
• Sonal Gupta, M.D.
• Yash Gupta, RBT
• Sujata Shukla Gur, NURSE PRACTITIONER
• Rebecca L Gusse, LCSW
• Alexis Marie Berta Gustafson, M.S., CCC-SLP

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, 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 22, 2019; 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.