Gayle Susan Tauchen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012247 Issued in IL

Practice address

279 S Monterey Ave
Elmhurst, IL 60126

Phone

(630) 674-9753

NPI assigned

Oct 2, 2008

Last updated

May 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Gayle Susan Wisner Former name

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1811148216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S MONTEREY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263008",
            "telephone_number": "630-674-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S MONTEREY AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-674-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUCHEN",
        "first_name": "GAYLE",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "WISNER",
            "middle_name": "SUSAN",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul P Szorc, OD
• Courtney Szostak
• Erika Janina Tapia
• Tara Incopero PC
• Stephanie Tate, DPT
• Azam Tayyebi, APN-CNP
• Katie Tebrugge, MS CCC SLP
• David Tella I, MD
• Odon D. Terrado, M.D.
• Daisy Anahi Terrazas

• Clinical Social Worker in Elmhurst, IL
• Providers in Elmhurst, 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 May 31, 2018; 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.

Verify at the official NPI Registry.