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MRS. NICHOLE MARIE GADDIS LCSW
NPI 1073076105
Social Worker - Clinical in Bloomingdale, IL

Active since April 06, 2019
109 FAIRFIELD WAY # 205, BLOOMINGDALE, IL 60108(630) 237-4446 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 8, 2024, Apr 6, 2019 (2 updates tracked since 2019).

About Mrs. Nichole Marie Gaddis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICHOLE MARIE GADDIS LCSW (NPI 1073076105) is an individual clinical provider in Bloomingdale, Illinois, licensed in Illinois (149.018293) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1073076105
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICHOLE MARIE GADDISCredential: LCSW
Location Address109 FAIRFIELD WAY # 205Bloomingdale, IL 60108
Mailing Address1s376 Summit Ave Ste 4cOakbrook Terrace, IL 60181-3966 · (630) 424-1122
Phone(630) 237-4446
Sole ProprietorYes
Enumeration DateApril 6, 2019
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
✔ NPI 1073076105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.018293
Definition
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.
109 FAIRFIELD WAY # 205, Bloomingdale, IL 60108
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Other Names 1

Former Name (1)Nichole Marie Galullo Lcsw

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Gaddis's NPI number?

The NPI number for Nichole Gaddis is 1073076105. It was assigned to this individual provider in the NPPES registry on April 6, 2019. The provider is also known as Nichole Marie Galullo Lcsw.

Where is Nichole Gaddis located?

Nichole Gaddis practices at 109 Fairfield Way # 205, Bloomingdale, IL 60108. The listed phone number is (630) 237-4446.

What is Nichole Gaddis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nichole Gaddis was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.