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DR. GINA BLANCHE GASTON MSW, PHD, LCSW
NPI 1396206827
Social Worker - Clinical in Chicago, IL

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
820 S. DAMEN, ROOM 8434, CHICAGO, IL 60612(312) 569-8246 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gina Blanche Gaston Msw, Phd, Lcsw NPPES

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

DR. GINA BLANCHE GASTON MSW, PHD, LCSW (NPI 1396206827) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-009190) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1396206827
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. GINA BLANCHE GASTONCredential: MSW, PHD, LCSW
Location Address820 S. DAMEN, ROOM 8434Chicago, IL 60612
Mailing Address4800 S Lake Park Ave Apt 405aChicago, IL 60615-2044 · (773) 905-4626
Phone(312) 569-8246
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 27, 2019
✔ NPI 1396206827 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 · 149-009190
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.
820 S. DAMEN, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gina Blanche Gaston Msw, Phd, 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 ID1759783277
PECOS Enrollment IDI20210707000579
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gina Gaston reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitae Health Medical Illinois, PLLC
11 mi
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
NPI 1174013452 (224) 777-8034
Mathers Clinic, LLC
35 mi
Community/Behavioral Health
585 TOLLGATE RD
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1821457714 (847) 462-6099
Grow Healthcare Group PA
1,189 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 60612 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 5

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

NICK PAPADOPOULOS MSW
Social Worker
820 S. DAMEN
CHICAGO, IL 60612
Cook County (312) 569-6517
SUSAN NAPOLILLO LCSW
Social Worker (Clinical)
820 S. DAMEN
CHICAGO, IL 60612
Cook County (312) 569-7212
MR. DONALD BUTLER MSW,LCSW
Social Worker (Clinical)
820 S. DAMEN
CHICAGO, IL 60612
Cook County (312) 569-7066
DR. RICHARD M TRESLEY M.D.
Psychiatry & Neurology (Neurology)
820 S. DAMEN
CHICAGO, IL 60612
Cook County (312) 569-8387
MR. BARRY PUHR LCSW, MA
Social Worker (Clinical)
820 S. DAMEN
CHICAGO, IL 60612
Cook County (312) 569-6222

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 Gina Gaston's NPI number?

The NPI number for Gina Gaston is 1396206827. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Gina Gaston located?

Gina Gaston practices at 820 S. Damen Room 8434, Chicago, IL 60612. The listed phone number is (312) 569-8246.

What is Gina Gaston's specialty?

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

Is Gina Gaston enrolled in Medicare?

Yes. Gina Gaston 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.

Which organizations bill Medicare for Gina Gaston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Gaston reassigns Medicare benefits to 3 organizations: Vitae Health Medical Illinois, PLLC (Skokie, IL), Mathers Clinic, LLC (Elgin, IL) and Grow Healthcare Group PA (Miami, FL). Each 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 Gina Gaston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Gaston accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gina 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 Gina Gaston was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.