Active NPI
Gina Louise Raimondi, L.C.S.W.
- Clinical Social Worker
- Sycamore, IL
National Provider Identifier
1912390089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.009813
- Practice address
- 2128 Midlands CT Ste 107
Sycamore, IL 60178-3199 - Phone
- (847) 404-7918
- NPI assigned
- Mar 12, 2015
- Last updated
- Apr 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.009813 | IL | Primary |
Addresses
Primary practice location
2128 Midlands CT Ste 107
Sycamore, IL 60178-3199
Mailing address
2128 Midlands CT Ste 107
Sycamore, IL 60178-3199
Phone (847) 404-7918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36-2447195 | Other | IL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.009813 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743552000000",
"number": "1912390089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 MIDLANDS CT STE 107",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783199",
"telephone_number": "847-404-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 MIDLANDS CT STE 107",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783199",
"telephone_number": "847-404-7918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIMONDI",
"first_name": "GINA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.009813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "36-2447195",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
- Professional Services in Health Psychology, LTD (LivingRite, The Center for Behavioral Health, LTD)
- Grayce Quick
- Sara Louise Quincer, MA, LCPC
- Radiant Dermatology, LTD
- Radiologists LTD
- Winston D Rajendram, M.D.
- Raneem Rajjoub
- Periakaruppan Ramanathan, MD
- Debra A Rasmussen, APRN, CNP
- Cari-Anne Rathbun, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.