Alice Gehrke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024707 Issued in IL

Practice address

415 Laurel St Ste a
San Diego, CA 92101-1623

Phone

(619) 268-1384

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 18, 2025 through Jun 18, 2027

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Jewish Child and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1316394968
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1992465298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LAUREL ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LAUREL ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011623",
            "telephone_number": "619-268-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Kenilworth",
            "state": "IL",
            "postal_code": "600431094",
            "country_code": "US",
            "telephone_number": "619-268-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHRKE",
        "first_name": "ALICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Marie Gegan, RD
• Audrey Gehart
• Kelly J Gehlhaar, LCSW
• Marc Kenneth Gehr, M.D.
• Susan M Gehrig, PHD
• Collin Gehrke, PT, DPT
• Joseph A Gehrz, M.D.
• Eric Geier, MD, PHD
• Kelly James Geier
• Kisa Nicole Geiger, OT

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.