Individual provider Active NPI

Bonnie F Gamze, LCSW CADC

  • Clinical Social Worker
  • Arlington Heights, IL
National Provider Identifier
1386213106
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149000414 Issued in IL
Practice address
1655 N Arlington Heights Rd Ste 200W
Arlington Heights, IL 60004-3977
Phone
(773) 366-8166
Fax
(847) 342-3031
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 149000414 IL Primary

Addresses

Primary practice location

1655 N Arlington Heights Rd Ste 200W
Arlington Heights, IL 60004-3977

Mailing address

1655 N. Arlington Heights Rd
Suite 200W
Arlington Heights, IL 60004-3977
Phone (773) 366-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149000414ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1386213106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N. ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 200W",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043977",
            "telephone_number": "773-366-8166",
            "fax_number": "847-342-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD STE 200W",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043977",
            "telephone_number": "773-366-8166",
            "fax_number": "847-342-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMZE",
        "first_name": "BONNIE",
        "middle_name": "F",
        "credential": "LCSW CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.