Individual provider Active NPI

Marlena Christine Gebhard, LCSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1093328486
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW09931583 Issued in CO
Practice address
1090 S Wadsworth Blvd Ste C
Lakewood, CO 80226-4350
Phone
(970) 414-7606
Fax
(970) 834-6873
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW09931583 CO Primary
Clinical Social Worker 1041C0700X 149.025532 IL
Social Worker 104100000X 150.104560 IL

Addresses

Primary practice location

1090 S Wadsworth Blvd Ste C
Lakewood, CO 80226-4350

Mailing address

1090 S Wadsworth Blvd Ste C
Lakewood, CO 80226-4350
Phone (970) 414-7606

Other names 1

  • Marlee Gebhard Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.104560ILMDSocial Worker
CSW09931583COMDClinical Social Worker
149.025532ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Queerly Healing Therapies PLLC Clinical CurrentSince Jan 7, 2024 Accepting new patients

Locations

5145 N Clark St
#1099
Chicago, IL 60640

302 Saunders Rd
Ste 200
Riverwoods, IL 60015
Phone (651) 315-3410

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1093328486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 S WADSWORTH BLVD STE C",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264350",
            "telephone_number": "970-414-7606",
            "fax_number": "970-834-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 S WADSWORTH BLVD STE C",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264350",
            "telephone_number": "970-414-7606",
            "fax_number": "970-834-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARD",
        "first_name": "MARLENA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09931583",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025532",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLEE",
            "last_name": "GEBHARD",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.