Gretchen Clemens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.007572 Issued in IL

Legal business name

GRETCHEN CLEMENS, LCSW

Practice address

1580 S Milwaukee Ave
407
Libertyville, IL 60048-3764

Phone

(224) 207-8118

Fax

(224) 218-3098

NPI assigned

May 2, 2013

Last updated

May 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gretchen K Clemens, LCSWNPI 1760679047

Title

Owner

Phone

(224) 207-8118

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretchen Kathryn Clemens, LCSW

  • Clinical Social Worker
  • Libertyville, IL
  • NPI 1760679047
  Authorized official Same address or phone

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1467897512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "407",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483764",
            "telephone_number": "224-207-8118",
            "fax_number": "224-218-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "407",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483764",
            "telephone_number": "224-207-8118",
            "fax_number": "224-218-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN CLEMENS, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-207-8118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.007572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Greenberg
• Brenda R Greene, CRNA
• William R Greenfield, MD
• Margot Greenwald, CCC-SLP
• Alison Greissinger
• Marni S Griffith, MHC, CCC-SLP
• Tiffany Grinter
• Dennis Anthony Grollo, MD
• Growth Psychological Services Evaluations PLLC
• Eileen Magno Grubb, MD

• Clinical Social Worker in Libertyville, IL
• Providers in Libertyville, 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 2, 2013; 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.