Individual provider Active NPI

Gayle M Pape, LCSW

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1285987511
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015310 Issued in IL
Practice address
618 S West St
Wheaton, IL 60187-5038
Phone
(630) 668-8710
Fax
(630) 668-8779
NPI assigned
Oct 24, 2012
Last updated
Oct 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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 149015310 IL Primary

Addresses

Primary practice location

618 S West St
Wheaton, IL 60187-5038

Mailing address

618 S West St
Wheaton, IL 60187-5038
Phone (630) 668-8710

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
I20210422001484 IL Practitioner - Clinical Social Worker 6103234612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Care Wellness, Inc.Group PAC ID 2860791449, 14 clinicians

Practice addresses (Care Compare)

5408 N Long Ave
Chicago, IL 60630-1321
Phone (630) 423-5935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Care Wellness, Inc. Clinical CurrentSince Mar 22, 2021 Accepting new patients
Pape & Associates Clinical Past Accepting new patients
Pape and Associates Clinical PastSince Mar 1, 2012 Accepting new patients

Locations

800 Roosevelt Rd
Ste C206
Glen Ellyn, IL 60137
Phone (630) 423-5935

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1285987511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S WEST ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875038",
            "telephone_number": "630-668-8710",
            "fax_number": "630-668-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S WEST ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875038",
            "telephone_number": "630-668-8710",
            "fax_number": "630-668-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPE",
        "first_name": "GAYLE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.