Stephen Gillenwater, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020356 Issued in IL

Practice address

1645 W Jackson Blvd Ste 315a
Chicago, IL 60612-3227

Phone

(312) 942-2777

Fax

(312) 942-2822

NPI assigned

Oct 24, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1265909600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N AUSTIN BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021714",
            "telephone_number": "708-466-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD STE 315A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123227",
            "telephone_number": "312-942-2777",
            "fax_number": "312-942-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLENWATER",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "149020356",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gillani & Associates, Inc
• Sheena Gillani, MD
• Steve M Gillani
• Gabrielle Gillaspie
• Matthew Gillen, D.O.
• Gilleon Health S.C.
• Cherie Renee Gilleon, D.O.
• Patricia Gilleran, DDS
• Catherine Gillespie
• Heidi Gillespie, L.AC., LMT

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Oct 24, 2018; 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.