Individual provider Active NPI

Gina Tapella, LCSW

  • Clinical Social Worker
  • Romeoville, IL
National Provider Identifier
1972002152
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017925 Issued in IL
Practice address
1541 Azalea Cir
Romeoville, IL 60446-5278
Phone
(815) 685-2103
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017925 IL Primary

Addresses

Primary practice location

1541 Azalea Cir
Romeoville, IL 60446-5278

Mailing address

1541 Azalea Cir
Romeoville, IL 60446-5278
Phone (815) 685-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503001337 IL Practitioner - Clinical Social Worker 4385908136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute of Neurobehavior Services SCGroup PAC ID 7618107608, 9 clinicians

Practice addresses (Care Compare)

14315 S 108TH Ave
Suite 215
Orland Park, IL 60462-5701
Phone (708) 586-9751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017925ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Neurobehavior Services SC CurrentSince Apr 1, 2018 Accepting new patients

Locations

14315 108th Ave
Ste 215
Orland Park, IL 60467
Phone (708) 586-9751

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1972002152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 AZALEA CIR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465278",
            "telephone_number": "815-685-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 AZALEA CIR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465278",
            "telephone_number": "815-685-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPELLA",
        "first_name": "GINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.