Joseph Liam Gibble-Keenan, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016494 Issued in IL

Practice address

888 S Roselle Rd
Schaumburg, IL 60193-3965

Phone

(847) 895-4191

NPI assigned

Sep 21, 2014

Last updated

Sep 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411257600000",
    "number": "1790187870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 SAINT ANDREWS CIR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236801",
            "telephone_number": "847-946-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933965",
            "telephone_number": "847-895-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBLE-KEENAN",
        "first_name": "JOSEPH",
        "middle_name": "LIAM",
        "name_prefix": "Mr.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-21",
        "last_updated": "2014-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gerzevske
• Ambereen Ghani, M.D.
• Salma Ghayal, PHARMD
• Kamyar Ghazvini
• Karen Ann Giammicchio, APRN AOCNS
• Peggy Lin Gibble, LCSW, CADC, MISA I
• Teresa Marzena Gielczynski, MSW, LCSW, ICDVP
• Brielle Gillespie
• Katherine Gilman, OTD, OTR/L
• Christine See Gin, DDM, MS

• Clinical Social Worker in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.