GDM Consultants

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149018026 Issued in IL

Legal business name

GDM CONSULTANTS

Practice address

12418 S Throop St
Calumet Park, IL 60827-5820

Phone

(312) 391-0113

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Gwen D Miller, MSW., M.ED., LCSW

Title

Owner

Phone

(312) 391-0113

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.

• Gwendolyn Miller, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
  • NPI 1568527281
  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1477093516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12418 S THROOP ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608275820",
            "telephone_number": "312-391-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12418 S THROOP ST",
            "city": "CALUMET PARK",
            "state": "IL",
            "postal_code": "608275820",
            "telephone_number": "312-391-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDM CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-391-0113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW., M.ED., LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149018026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Towanda Collins, OTR L
• Janine Dixon
• Tiajuana Dixon
• Michele Early, SW
• Shameema Essof, D.D.S0
• Jennifer Ollie Goodrich, LCPC
• Great World Medical Equipment and Supplies Inc.
• Caitlin Greenfield, FNP-BC
• Lonyah Monquie Guy, APRN
• Raegene Hankle, FNP-BC

• Community/Behavioral Health Agency in Calumet Park, IL
• Providers in Calumet Park, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.