Gabrielle Dawn Rivette Remole, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019794 Issued in IL

Practice address

7757 US Route 136
Potomac, IL 61865-3047

Phone

(217) 799-3570

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gabrielle Dawn Rivette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Gateway Family Services of Illinois

  • Clinical Social Worker
  • Potomac, IL
  • NPI 1487152344
  NPD (past)
• Gateway Family Services of Illinois

  • Adolescent and Children Mental Health Clinic/Center
  • Potomac, IL
  • NPI 1609514801
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1962900795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 N 1100 EAST RD",
            "city": "CATLIN",
            "state": "IL",
            "postal_code": "618179253",
            "telephone_number": "310-463-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7757 US ROUTE 136",
            "city": "POTOMAC",
            "state": "IL",
            "postal_code": "618653047",
            "telephone_number": "217-799-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMOLE",
        "first_name": "GABRIELLE",
        "middle_name": "DAWN RIVETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "RIVETTE",
            "middle_name": "DAWN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Harms
• Jacquelyn Melissa Matias, LMSW
• Katherine Meid
• Julia L Pettersen
• Potomac School District 10
• Michael Remole, MA, LCPC
• Paige Danielle Rogge, LSW

• Clinical Social Worker in Potomac, IL
• Providers in Potomac, 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 Jan 26, 2018; 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.