Leslie Lynn Gum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149004519 Issued in IL

Practice address

2625 Butterfield Rd Ste 138S
Oak Brook, IL 60523-1244

Phone

(630) 362-4445

Fax

(630) 528-3805

NPI assigned

Oct 17, 2006

Last updated

May 13, 2015By 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)

Enrolled

State licenses

Practice roles

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.

• Metropolitan Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1841460391
  NPD (past)
• Metropolitan Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1992767032
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1437239027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DRENDEL LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652341",
            "telephone_number": "630-527-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 138S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231244",
            "telephone_number": "630-362-4445",
            "fax_number": "630-528-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUM",
        "first_name": "LESLIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina D Gruendeman-Gordon, DDS
• Gruener Consulting, LLC
• Catherine Gruener, LCPC, NCC
• Christine M. Grygiel, MA, LCPC
• Tabitha Guillaume, LCPC
• Larry Charles Gunn, M.D.
• Traci Renee Gunnells-Kerzich, LCSW
• Sonal Gupta, M.D.
• Yash Gupta, RBT
• Sujata Shukla Gur, NURSE PRACTITIONER

• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, 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 13, 2015; 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.