Minda G Gerber LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149004924 Issued in IL

Legal business name

MINDA G GERBER LCSW PLLC

Practice address

770 Lake Cook Rd Ste 125
Deerfield, IL 60015-4920

Phone

(847) 833-6764

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Minda Gerber, LCSW

Title

Owner

Phone

(847) 833-6764

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1114396504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 125",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-833-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 125",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-833-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDA G GERBER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "MINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-833-6764",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "149004924",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle H Schultz MD PC
• Midland Counseling Services, PLLC
• Midwest Institute of Neurological Discovery, LLC
• Isabella Mijares, RBT
• Jeffrey S Miller, DN
• Mindful Solutions LLC
• Mindy E Forman PSYD PLLC
• MJ Investments & Development Co
• Andrea C Monek-Head, BEHAVIOR TECHNICIAN
• Annette Diane Monk, MS, LAT, ATC

• Clinical Social Worker in Deerfield, IL
• Providers in Deerfield, 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 Dec 1, 2021; 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.