Active NPI
Jennifer Gentile, LCSW
- Social Worker
- Skokie, IL
National Provider Identifier
1679864268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150012215
- Practice address
- 7670 Marmora Ave
Skokie, IL 60077-2628 - Phone
- (847) 967-1800
- Fax
- (847) 967-9543
- NPI assigned
- Apr 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.014922 | IL | |
| Social Worker | 104100000X | 150012215 | IL | Primary |
Addresses
Primary practice location
7670 Marmora Ave
Skokie, IL 60077-2628
Mailing address
7660 Gross Point Rd
Skokie, IL 60077-2613
Phone (847) 967-1800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150012215 | IL | MD | Social Worker |
| 149.014922 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1679864268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7660 GROSS POINT RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772613",
"telephone_number": "847-967-1800",
"fax_number": "847-967-9543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7670 MARMORA AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772628",
"telephone_number": "847-967-1800",
"fax_number": "847-967-9543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-29",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.014922",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150012215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.