Individual provider Active NPI

Gwyn K Golembiewski

  • Social Worker
  • Lake in the Hills, IL
National Provider Identifier
1093604696
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.117026 Issued in IL
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

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
150.117026ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.