Individual provider Active NPI

Gail D Bonds Carpenter

  • Social Worker
  • Chicago Heights, IL
National Provider Identifier
1609548270
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.104636 Issued in IL
Practice address
741 Cedar LN
Chicago Heights, IL 60411-2015
Phone
(708) 969-7017
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105.104636 IL
Social Worker 104100000X 150104636 IL
Social Worker 104100000X IL
Social Worker 104100000X 150.104636 IL Primary

Addresses

Primary practice location

741 Cedar LN
Chicago Heights, IL 60411-2015

Mailing address

741 Cedar LN
Chicago Heights, IL 60411-2015
Phone (708) 969-7017

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gsilb@yahoo.com Health Information Exchange (HIE)

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
105.104636ILMDSocial Worker
150.104636ILMDSocial Worker
150104636ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1609548270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 CEDAR LN",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112015",
            "telephone_number": "708-969-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 CEDAR LN",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112015",
            "telephone_number": "708-969-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS CARPENTER",
        "first_name": "GAIL",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "105.104636",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150104636",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gsilb@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "gsilb@yahoo.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gsilb@yahoo.com",
            "address_1": "741 Cedar Ln",
            "city": "Chicago Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604112015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.