Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN MARIE GAMBACH, LCSW
Active Sole ProprietorSUSAN MARIE GAMBACH, LCSW is a Clinical Social Worker healthcare provider located in CHAMPAIGN, Illinois. NPI 1164775458 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1164775458
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2012 (13.764437974197 yrs)
- Last Updated
- Oct 24, 2012
- License
-
149015516 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1514 COUNTRY LAKE DRCHAMPAIGN, IL, 618216428Browse IL providers · Browse ZIP 61821
- Phone
- 2176371537
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MS. SANDRA KAY FERGUSON | LCSW | 1538157961 |
| MR. GREGORY ALAN WHICKER | MSW, LCSW | 1487670659 |
| MR. STEPHEN HIGGINS | LCSW | 1730193376 |
| LAURELYN HODGES CROPEK | LCSW | 1922010701 |
| CHRISTINE MARIE MAYER | LCSW | 1093727885 |
| MR. NICHOLAS MACKENZIE BRIDGETT | LCSW | 1306858592 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.