ANDREW JONAH GOMBERG (NPI# 1104085703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104085703 |
| Entity Type | Individual |
| Full Name | ANDREW JONAH GOMBERG |
| Credential | L.C.S.W. |
| Practice Address |
378 Park Ave Ste 2a Glencoe IL 60022-2700 |
| Mailing Address |
1807 W Winnemac Ave Unit E Chicago IL 60640-7145 |
| Practice Telephone | 7734806150 |
| Practice Fax Number | 8472420795 |
| Mailing Telephone | 7734806150 |
| Mailing Fax Number | 8472420795 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.012991 | IL | Behavioral Health & Social Service Providers |
| Street Address |
378 PARK AVE STE 2A |
| City | GLENCOE |
| State | IL |
| Zip Code | 60022-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942724323 | Heidi Brockstein | Social Worker | 378 Park Ave Ste 2a, Glencoe, IL 60022-2700 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
| 1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
| 1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
| 1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
| 1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
| 1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
| 1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
| 1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
| 1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
| 1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
| Find all providers in zip 60022 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500949 | Matthew Frank | Social Worker | 525 Monroe Ave, Glencoe, IL 60022-2071 | 2018-06-06 |
| 1700197282 | Robert R. Marsh | Social Worker | 458 Jefferson Ave, Glencoe, IL 60022-1862 | 2010-06-29 |
| 1821266396 | Sharon Royce Steckler | Social Worker | 258 Dennis Ln, Glencoe, IL 60022-1320 | 2008-02-18 |
| 1275752826 | Mona Thornton | Social Worker | 892 Vernon Ave, Glencoe, IL 60022-1267 | 2007-04-24 |
| 1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
| 1942817259 | Lisa Belgrad Lcsw Pllc | Social Worker | 630 Vernon Ave, Glencoe, IL 60022-1681 | 2020-09-30 |
| 1881234979 | Jennifer Erin Gregg | Social Worker | 630 Vernon Ave, Glencoe, IL 60022-1681 | 2020-01-07 |
| 1831758515 | Amy Baldwin | Social Worker | 378 Park Ave, Glencoe, IL 60022-1586 | 2019-06-06 |
| 1184100703 | Alice Mckeever | Social Worker | 378 Park Ave Ste 1d, Glencoe, IL 60022-2700 | 2018-07-17 |
| 1982194882 | Emily Honora Mysel | Social Worker | 675 Village Ct, Glencoe, IL 60022-1609 | 2018-05-16 |
| Find all providers in GLENCOE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.