Agathe Ann Gabriel, LCSW
Social Worker, Clinical in Northfield, IL. Individual provider (NPI-1).
NPI number1669017299
StatusActive
Last updated in NPPESNov 6, 2019
Details
- NPI
- 1669017299
- Entity type
- Individual (NPI-1)
- Name
- Ms. Agathe Ann Gabriel
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2019
- Last updated
- Nov 6, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.021401 | IL | Yes |
Practice location
400 Central Ave Ste 202Northfield, IL 60093-3024
Phone 847-579-9496
Mailing address
30007 N Waukegan Rd Apt 117Lake Bluff, IL 60044-1033
Phone 404-904-9498
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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