Individual provider Active NPI

Gwyn Kelly Pounds, LCSW

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1285487389
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149026636 Issued in IL
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

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
149026636ILMDClinical 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

Verify at the official NPI Registry.