Individual provider Active NPI

Rebecca Christine Gary, LCSW

  • Clinical Social Worker
  • Yorkville, IL
National Provider Identifier
1699293092
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020850 Issued in IL
Practice address
76 W Countryside Pkwy
Yorkville, IL 60560-1967
Phone
(630) 646-6396
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020850 IL Primary

Addresses

Primary practice location

76 W Countryside Pkwy
Yorkville, IL 60560-1967

Mailing address

515 Elite Ave
West Chicago, IL 60185-2111
Phone (630) 639-1186

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgary197375@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906000376 IL Practitioner - Clinical Social Worker 2961731625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

66 Miller Dr
Suite 105
North Aurora, IL 60542-5144
Phone (630) 570-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149020850ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oakheart, Center for Counseling, Mediation, and Consultation, LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

66 Miller Dr
Ste 105
North Aurora, IL 60542
Phone (630) 570-0050

1950 DeKalb Ave
Ste E
Sycamore, IL 60178
Phone (630) 570-0050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1699293092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ELITE AVE",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852111",
            "telephone_number": "630-639-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601967",
            "telephone_number": "630-646-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "REBECCA",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgary197375@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "76 W Countryside Pkwy",
            "city": "Yorkville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605601967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.