Active NPI
Gwyn K Golembiewski
- Social Worker
- Lake in the Hills, IL
National Provider Identifier
1093604696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.117026
- Practice address
- 920 E Oak St
Lake in the Hills, IL 60156-6173 - Phone
- (779) 800-5024
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.117026 | IL | Primary |
Addresses
Primary practice location
920 E Oak St
Lake in the Hills, IL 60156-6173
Mailing address
1480 Starfish LN
Sycamore, IL 60178-8621
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.fostercounseling.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.117026 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Counseling PLLC | Past | Accepting new patients |
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.
-
- Counselor
- Sycamore, IL
- NPI 1104585678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1093604696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 STARFISH LN",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601788621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 E OAK ST",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566173",
"telephone_number": "779-800-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLEMBIEWSKI",
"first_name": "GWYN",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.117026",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.fostercounseling.org",
"affiliation": "N",
"address_1": "920 E Oak St",
"city": "Lake IN The Hills",
"state": "IL",
"country_code": "US",
"postal_code": "601566173",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.