MARTA GULLICKSON
NPI 1083399307
Social Worker - Clinical in Oak Park, IL

Active since June 15, 2023Opted out of Medicare · through Mar 27, 2028
137 N OAK PARK AVE STE 400, OAK PARK, IL 60301(880) 070-8386 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marta Gullickson NPPES

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

MARTA GULLICKSON (NPI 1083399307) is an individual clinical provider in Oak Park, Illinois and active in the NPI registry since June 2023. She has opted out of Medicare through March 27, 2028.

NPPES Registry Identity

NPI1083399307
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARTA GULLICKSON
Location Address137 N OAK PARK AVE STE 400Oak Park, IL 60301-1344
Mailing Address137 N Oak Park Ave Ste 400Oak Park, IL 60301-1344
Sole ProprietorNo
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1083399307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
137 N OAK PARK AVE STE 400, Oak Park, IL 60301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Marta Gullickson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 27, 2024 through March 27, 2028.

Opt-Out Effective DateMarch 27, 2024
Opt-Out In Effect ThroughMarch 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
137 N OAK PARK AVE STE 400
OAK PARK, IL 60301
Counselor (Mental Health)
137 N OAK PARK AVE STE 400
OAK PARK, IL 60301
Counselor (Professional)
137 N OAK PARK AVE STE 400
OAK PARK, IL 60301
Counselor (Professional)
137 N OAK PARK AVE STE 400
OAK PARK, IL 60301
Social Worker
137 N OAK PARK AVE STE 400
OAK PARK, IL 60301
Counselor (Mental Health)
137 N OAK PARK AVE STE 400
OAK PARK, IL 60301
Counselor (Mental Health)
137 N OAK PARK AVE STE 400
OAK PARK, IL 60301

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 Marta Gullickson's NPI number?

The NPI number for Marta Gullickson is 1083399307. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Marta Gullickson located?

Marta Gullickson practices at 137 N Oak Park Ave Ste 400, Oak Park, IL 60301. The listed phone number is (880) 070-8386.

What is Marta Gullickson's specialty?

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

Is Marta Gullickson enrolled in Medicare?

No. Marta Gullickson has opted out of Medicare through March 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marta Gullickson was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.