Individual provider Active NPI

Cathy Carmel Smith-Gilham, LCSW, CADC

  • Clinical Social Worker
  • Merrillville, IN
National Provider Identifier
1922136373
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149010257 Issued in IL
Practice address
6111 Harrison St Ste 119
Merrillville, IN 46410-2970
Phone
(708) 207-1307
Fax
(708) 775-6095
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005992A IN
Clinical Social Worker 1041C0700X 149010257 IL Primary

Addresses

Primary practice location

6111 Harrison St Ste 119
Merrillville, IN 46410-2970

Mailing address

7439 Clark Rd
Merrillville, IN 46410-6696
Phone (708) 207-1307

Other practice location 1

930 175th St Ste 2Nw
Homewood, IL 60430-2080
Phone (708) 207-1307

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

LicenseStateTypeSpecialty
149010257ILMDClinical Social Worker
34005992AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Institute PastSince Jan 10, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1922136373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 CLARK RD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106696",
            "telephone_number": "708-207-1307",
            "fax_number": "708-775-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HARRISON ST STE 119",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102970",
            "telephone_number": "708-207-1307",
            "fax_number": "708-775-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 175th St Ste 2Nw",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604302080",
            "country_code": "US",
            "telephone_number": "708-207-1307",
            "fax_number": "708-775-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH-GILHAM",
        "first_name": "CATHY",
        "middle_name": "CARMEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005992A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.