Simone Gillon, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150109055 Issued in IL

Practice address

900 Skokie Blvd Ste 255
Northbrook, IL 60062-4054

Phone

(312) 870-0120

Fax

(312) 819-2080

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Natalia Kaczmarek LLC

  • Mental Health Counselor
  • Northbrook, IL
  • NPI 1508676982
  NPD
• Natalia Kaczmarek PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
  • NPI 1982193835
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1316668205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 255",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624054",
            "telephone_number": "312-870-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 255",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624054",
            "telephone_number": "312-870-0120",
            "fax_number": "312-819-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLON",
        "first_name": "SIMONE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150109055",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinead Gibbs-Mason
• Erica Gilbert, DMD
• Rory Gilbert, MSW
• Gilda Schaffer, PSYD, LLC
• Laura Sue Giles-Brown, CRT, RCP
• Michelle Lynn Gilski, RBT-18-65558
• Brandon Charles Gimbel, M.D.
• Ellie Ginsburg
• Katherine Girard, DMD
• Michelle Giuffre, M.S.

• Clinical Social Worker in Northbrook, IL
• Providers in Northbrook, 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 May 10, 2024; 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.