Ellen Giacobbe, LCSW
Individual provider Active NPI Clinical Social Worker · East Dundee, IL
NPI 1780181487 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1780181487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.020189 (IL)
- Practice address
- 101 S Van Buren St
East Dundee, IL 60118-2315 - Phone
- (815) 236-9718
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.020189 | IL | MD | Clinical Social Worker |
| 994484 | IL | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 994484 | IL | |
| Clinical Social Worker | 1041C0700X | 149.020189 | IL | Yes |
Addresses
Primary practice location
101 S Van Buren St
East Dundee, IL 60118-2315
Mailing address
101 S Van Buren St
East Dundee, IL 60118-2315
Phone (815) 236-9718
Other providers in East Dundee, IL
- Franklin Park Medical Center, PC
- Angela Gallo
- Elisela Garcia
- Susana Gasca
- Todd A Gephart
- Maria Gomez
- Ashley Ann Gregg
- Luis Hernandez
- Hopscotch LLC
- Brian P Horn
All providers in East Dundee, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.