Individual provider Active NPI

Laurie A. Gilbert, LCSW

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1215034814
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149010484 Issued in IL
Practice address
505 W University Ave Ste 211
Champaign, IL 61820
Phone
(217) 398-3124
Fax
(217) 693-4945
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149010484 IL
Clinical Social Worker 1041C0700X 149010484 IL Primary

Addresses

Primary practice location

505 W University Ave Ste 211
Champaign, IL 61820

Mailing address

505 W University Ave Ste 211
Champaign, IL 61820-3915
Phone (217) 398-3124

Other practice location 1

505 W University Ave Ste 211
Champaign, IL 61820-3915
Phone (217) 398-3124

Other practice location 2

313 N Mattis Ave Ste 116
Champaign, IL 61821-7900
Phone (877) 751-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000491 IL Practitioner - Clinical Social Worker 7719087279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

313 N Mattis Ave
Suite 116
Champaign, IL 61821-7900
Phone (217) 398-3124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149010484ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Approachable Therapy LLC Clinical CurrentSince Aug 6, 2019 Accepting new patients

Locations

313 N Mattis Ave
Ste 116
Champaign, IL 61821
Phone (217) 203-2008

505 W University Ave
Ste 211
Champaign, IL 61820
Phone (217) 398-3124

Organizations & group practices 2

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1215034814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W UNIVERSITY AVE STE 211",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203915",
            "telephone_number": "217-398-3124",
            "fax_number": "217-693-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W UNIVERSITY AVE STE 211",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61820",
            "telephone_number": "217-398-3124",
            "fax_number": "217-693-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W University Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618203915",
            "country_code": "US",
            "telephone_number": "217-398-3124",
            "fax_number": "217-693-4945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 N Mattis Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618217900",
            "country_code": "US",
            "telephone_number": "877-751-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "LAURIE",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149010484",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.