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SUSAN MARIE GAMBACH LCSW
NPI 1164775458
Social Worker - Clinical in Champaign, IL

Active since October 24, 2012PECOS EnrolledAccepts Medicare Assignment
1514 COUNTRY LAKE DR, CHAMPAIGN, IL 61821(217) 637-1537 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Marie Gambach Lcsw NPPES

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

SUSAN MARIE GAMBACH LCSW (NPI 1164775458) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149015516) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164775458
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN MARIE GAMBACHCredential: LCSW
Location Address1514 COUNTRY LAKE DRChampaign, IL 61821-6428
Mailing Address116 N Chestnut St, Suite 243Champaign, IL 61820-4039 · (217) 637-1537
Phone(217) 637-1537
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 24, 2012
✔ NPI 1164775458 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 · 149015516
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.
1514 COUNTRY LAKE DR, Champaign, IL 61821
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Other Names 1

Professional Name (2)S. Marie Gambach Lcsw

Other Identifiers 1

Other149015516IL · Department Of Financial And Professional Regulation License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Marie Gambach Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941449383
PECOS Enrollment IDI20130617000169
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Susan Gambach's NPI number?

The NPI number for Susan Gambach is 1164775458. It was assigned to this individual provider in the NPPES registry on October 24, 2012. The provider is also known as S. Marie Gambach Lcsw.

Where is Susan Gambach located?

Susan Gambach practices at 1514 Country Lake Dr, Champaign, IL 61821. The listed phone number is (217) 637-1537.

What is Susan Gambach's specialty?

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

Is Susan Gambach enrolled in Medicare?

Yes. Susan Gambach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Gambach was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.