Laura Elizabeth Gebhardt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014065 Issued in IL

Practice address

222 E Wisconsin Ave
Suite 207
Lake Forest, IL 60045-1735

Phone

(224) 544-9159

NPI assigned

Jan 8, 2017

Last updated

Jan 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483833600000",
    "number": "1316483845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E WISCONSIN AVE",
            "address_2": "SUITE 207",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451735",
            "telephone_number": "224-544-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E WISCONSIN AVE",
            "address_2": "SUITE 207",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451735",
            "telephone_number": "224-544-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Garmisa
• Jason T Garti, M.D.
• Jennifer Garvonado
• Laurie Dyan Gauthier, DPT
• Hawkins Clark Gay, M.D.
• Gema (Ballert Orthopedic)
• Alan Georges, MB CH B
• Charlotte Elyse Ghena, CGC
• Rilina Ghosh, MD
• Bridget J Giblin, PA-C

• Clinical Social Worker in Lake Forest, IL
• Providers in Lake Forest, 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 Jan 8, 2017; 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.