Irina M Gimena, LCSW, CADC, CCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016241 Issued in IL

Practice address

212 S Marion St Ste 9
Oak Park, IL 60302-3159

Phone

(847) 334-3015

NPI assigned

Dec 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1124789284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 MARGUERITE ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681934",
            "telephone_number": "184-733-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MARION ST STE 9",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023159",
            "telephone_number": "847-334-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMENA",
        "first_name": "IRINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "29631",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "4242224",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Gilliard, LCPC, CADC
• Charles Evan Gillum
• Cindy Kurrasch Gilmore, PSYD
• Kyla Marie Gilmore, LCPC
• Erika Gilyot-Montgomery, PSY.D.
• Hannah Gin, MS, OTR/L
• Tennille M Giometti, LCSW
• Jeffrey K Giraldo, LCPC
• Alysee Giraud-Carrier, PA-C
• Kevin D Givens, DDS

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, 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 31, 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.