Active NPI
Michelle Ann KRC Gerlach, LCSW, MA
- Clinical Social Worker
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.021374
- Practice address
- 8600 US Highway 14 Ste 220a
Crystal Lake, IL 60012-2711 - Phone
- (224) 338-6038
- NPI assigned
- Mar 6, 2019
- Last updated
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 149.021374 | IL | Primary |
| Social Worker | 104100000X | 150.102806 | IL |
Addresses
Primary practice location
8600 US Highway 14 Ste 220a
Crystal Lake, IL 60012-2711
Mailing address
215 Fenimore Rd
Crystal Lake, IL 60014-7377
Phone (247) 159-6302
Other practice location 1
210 Crystal St Ste C
Cary, IL 60013-2096
Phone (224) 338-6038
Other practice location 2
1345 Wiley Rd Ste 124
Schaumburg, IL 60173-4356
Phone (224) 715-9630
Other names 1
- Michelle A KRC
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8600 US Hwy 14
Suite 220a
Crystal Lake, IL 60012-2706
Phone (224) 338-6038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.102806 | IL | MD | Social Worker |
| 149.021374 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Equinox Counseling Center LLC | Current | Accepting new patients | |
| Eannarino Therapeutic Services LLC | Past | Accepting new patients |
Locations
210 Crystal St
Ste C
Cary, IL 60013
Phone (224) 338-6038
8600 US Highway 14
Ste 220A
Crystal Lake, IL 60012
Phone (224) 338-6038
1345 Wiley Rd
Ste 124
Schaumburg, IL 60173
Phone (847) 772-7709
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Crystal Lake, IL
- NPI 1811579030
-
- Professional Counselor
- McHenry, IL
- NPI 1811806862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1730647090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 FENIMORE RD",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147377",
"telephone_number": "247-159-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 US HIGHWAY 14 STE 220A",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122711",
"telephone_number": "224-338-6038"
}
],
"practiceLocations": [
{
"address_1": "210 Crystal St Ste C",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "IL",
"postal_code": "600132096",
"country_code": "US",
"telephone_number": "224-338-6038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1345 Wiley Rd Ste 124",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601734356",
"country_code": "US",
"telephone_number": "224-715-9630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERLACH",
"first_name": "MICHELLE",
"middle_name": "ANN KRC",
"credential": "LCSW, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.021374",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.102806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "KRC",
"middle_name": "A",
"credential": "LCSW, MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.