Active NPI
Gwyn Kelly Pounds, LCSW
- Clinical Social Worker
- Plainfield, IL
National Provider Identifier
1285487389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149026636
- Practice address
- 13550 S Route 30 Ste 204B
Plainfield, IL 60544-5688 - Phone
- (630) 465-0671
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149026636 | IL | Primary |
Addresses
Primary practice location
13550 S Route 30 Ste 204B
Plainfield, IL 60544-5688
Mailing address
279 S Oak Creek LN
Romeoville, IL 60446-5335
Phone (630) 914-0131
Other practice location 1
123 W Washington St Ste 216
Oswego, IL 60543-8298
Phone (630) 465-0671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13550 S Route 30
Suite 204B
Plainfield, IL 60544-5688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149026636 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1285487389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 S OAK CREEK LN",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604465335",
"telephone_number": "630-914-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 S ROUTE 30 STE 204B",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605445688",
"telephone_number": "630-465-0671"
}
],
"practiceLocations": [
{
"address_1": "123 W Washington St Ste 216",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "IL",
"postal_code": "605438298",
"country_code": "US",
"telephone_number": "630-465-0671",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POUNDS",
"first_name": "GWYN",
"middle_name": "KELLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149026636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.