Gary Paul Wakefield, MSW LCSW BCD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1497 North Lafox
South Elgin, IL 60177-1227

Phone

(847) 697-4747

Fax

(847) 697-4717

NPI assigned

Jun 8, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972543668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 NORTH LAFOX",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771227",
            "telephone_number": "847-697-4747",
            "fax_number": "847-697-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 NORTH LAFOX",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771227",
            "telephone_number": "847-697-4747",
            "fax_number": "847-697-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04572027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Psychologist in Illinois

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

Verify at the official NPI Registry.