Active NPI
Timothy Scott Gobek, LCSW
- Clinical Social Worker
- Gary, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34001571A
- Practice address
- 4900 Broadway
Gary, IN 46408-4605 - Phone
- (219) 237-5170
- Fax
- (219) 321-1931
- NPI assigned
- Mar 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001571A | IN | Primary |
Addresses
Primary practice location
4900 Broadway
Gary, IN 46408-4605
Mailing address
PO Box 746721
Atlanta, GA 30374-6721
Phone (312) 733-9730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34001571A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Paige Maddex & Associates LLC | Clinical | Current | Accepting new patients |
| Vitae Health Medical Indiana LLC | Clinical | Current | Accepting new patients |
| Main Street Counseling Center | Current | Accepting new patients | |
| Osh-in Physicians Group, PC | Past | Accepting new patients | |
| Jain Counseling Services Inc. | Clinical | Past | Accepting new patients |
| Osh-Oh Physicians Group PC | Clinical | Past | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
119 E Goldsborough St
Ste A
Crown Point, IN 46307
Phone (219) 663-0888
10352 N 600 E
Demotte, IN 46310
Phone (219) 345-5211
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
5 Lincolnway
Ste 2
Valparaiso, IN 46383
Phone (219) 221-4022
Organizations & group practices 7
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.
-
- Mental Health Counselor
- Crown Point, IN
- NPI 1407001506
-
- Adult Mental Health Clinic/Center
- Valparaiso, IN
- NPI 1255012506
Clinical
-
- Clinical Social Worker
- Demotte, IN
- NPI 1396493433
-
- Clinical Social Worker
- Denver, CO
- NPI 1760854442
-
- Clinical Social Worker
- Valparaiso, IN
- NPI 1730639980
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1073995338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1730487273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746721",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746721",
"telephone_number": "312-733-9730",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROADWAY",
"city": "GARY",
"state": "IN",
"postal_code": "464084605",
"telephone_number": "219-237-5170",
"fax_number": "219-321-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBEK",
"first_name": "TIMOTHY",
"middle_name": "SCOTT",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-08",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34001571A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.