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ELIZABETH GAMBOA
NPI 1104752906
Social Worker - Clinical in Urbana, IL

Active since June 19, 2026
2210 VAWTER ST, URBANA, IL 61801(773) 507-9501 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Gamboa NPPES

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

ELIZABETH GAMBOA (NPI 1104752906) is an individual clinical provider in Urbana, Illinois, licensed in Illinois (149017242) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104752906
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH GAMBOA
Location Address2210 VAWTER STUrbana, IL 61801-6944
Mailing Address2210 Vawter StUrbana, IL 61801-6944 · (773) 507-9501
Phone(773) 507-9501
Sole ProprietorYes
Enumeration DateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1104752906 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 · 149017242
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.
2210 VAWTER ST, Urbana, IL 61801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Elizabeth Gamboa's NPI number?

The NPI number for Elizabeth Gamboa is 1104752906. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Elizabeth Gamboa located?

Elizabeth Gamboa practices at 2210 Vawter St, Urbana, IL 61801. The listed phone number is (773) 507-9501.

What is Elizabeth Gamboa'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 Elizabeth Gamboa was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.