Individual provider Active NPI

Gabriela Rebollar, LCSW

  • Clinical Social Worker
  • Mokena, IL
National Provider Identifier
1366195299
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149029342 Issued in IL
Practice address
18700 Wolf Rd Ste 225
Mokena, IL 60448-8762
Phone
(815) 249-1294
Fax
(815) 205-4406
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.106253 IL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149029342 IL Primary

Addresses

Primary practice location

18700 Wolf Rd Ste 225
Mokena, IL 60448-8762

Mailing address

18700 Wolf Rd Ste 225
Mokena, IL 60448-8762
Phone (815) 249-1294

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
I20250916003935 IL Practitioner - Clinical Social Worker 8628572310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18700 Wolf Rd
Suite 225
Mokena, IL 60448-8762
Phone (815) 249-1294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.106253ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Hope Center, Inc. Clinical CurrentSince Jul 1, 2025 Accepting new patients

Locations

18700 Wolf Rd
Ste 225
Mokena, IL 60448
Phone (815) 249-1294

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1366195299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 WOLF RD STE 225",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488762",
            "telephone_number": "815-249-1294",
            "fax_number": "815-205-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 WOLF RD STE 225",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488762",
            "telephone_number": "815-249-1294",
            "fax_number": "815-205-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOLLAR",
        "first_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.106253",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149029342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.