RENITA SHORES-GASTON LCSW
NPI 1346614435
Social Worker - Clinical in Rockford, IL
About Renita Shores-gaston Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENITA SHORES-GASTON LCSW (NPI 1346614435) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149.017848) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renita Shores-gaston Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Renita Shores-gaston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61108
- Reassigned Medicare billing, Arizona and Illinois enrollments
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Renita Shores-gaston's NPI number?
The NPI number for Renita Shores-gaston is 1346614435. It was assigned to this individual provider in the NPPES registry on November 30, 2015.
Where is Renita Shores-gaston located?
Renita Shores-gaston practices at 5844 Elaine Dr Ste 101, Rockford, IL 61108. The listed phone number is (815) 373-3027.
What is Renita Shores-gaston's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Renita Shores-gaston enrolled in Medicare?
Yes. Renita Shores-gaston is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Renita Shores-gaston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renita Shores-gaston reassigns Medicare benefits to Renita Shores-Gaston (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renita Shores-gaston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Renita Shores-gaston accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health and UnitedHealthcare list Renita Shores-gaston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Renita Shores-gaston was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Renita Shores-Gaston, LCSW · NPI 1346614435
Clinical provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since November 30, 2015.
## Identity
- **NPI:** 1346614435 (Entity type: Individual)
- **Enumerated:** November 30, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149.017848 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5844 ELAINE DR STE 101, Rockford, IL 61108-2494
- **Phone:** (815) 373-3027
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Renita Shores-Gaston (NPI 1518421577, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1346614435) · Data from the CMS NPPES public registry.