Gina Mandell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149005439 Issued in IL

Practice address

355 W Dundee Rd Ste 214
Buffalo Grove, IL 60089-3500

Phone

(847) 533-0746

NPI assigned

Sep 17, 2021

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Integrative Therapy Services, PLLC

  • Clinical Social Worker
  • Buffalo Grove, IL
  • NPI 1952071904
  NPD Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1669142964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 COUNTRYSIDE DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893280",
            "telephone_number": "847-533-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD STE 214",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "847-533-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "GINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Mai
• Deborah Rose Malitz, LCSW
• Jacqueline Sonnenberg Mallinger, MSW
• Molly Maloney, APRN
• Ria Contredas Malonzo
• David J. Mann, MD
• Aneliya Vasileva Manolchev
• Jennifer Manuel, MS, OTR/L
• Paula Angeles Marcial, APRN
• Wendi G Marcus, M.D.

• Clinical Social Worker in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Sep 20, 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.