Active NPI
Nathan Shawn Gavel, LCSW
- Social Worker
- Philo, IL
National Provider Identifier
1174467971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149.031169
- Practice address
- 5 Truman CT
Philo, IL 61864-9742 - Phone
- (217) 621-2784
- Fax
- (217) 666-4119
- NPI assigned
- Apr 14, 2026
- Sex
- Male
- 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 | 149.031169 | IL | Primary |
Addresses
Primary practice location
5 Truman CT
Philo, IL 61864-9742
Mailing address
5 Truman CT
Philo, IL 61864-9742
Phone (217) 621-2784
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 |
|---|---|---|---|
| 149.031169 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1174467971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TRUMAN CT",
"city": "PHILO",
"state": "IL",
"postal_code": "618649742",
"telephone_number": "217-621-2784",
"fax_number": "217-666-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TRUMAN CT",
"city": "PHILO",
"state": "IL",
"postal_code": "618649742",
"telephone_number": "217-621-2784",
"fax_number": "217-666-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVEL",
"first_name": "NATHAN",
"middle_name": "SHAWN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-14",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149.031169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.