SOPHIA ANNE-MARIE GAWRON LCSW
NPI 1437809712
Social Worker - Clinical in Bloomington, IL

Q: What is Sophia Gawron's NPI number?

The NPI number for Sophia Gawron is 1437809712. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Sophia Gawron's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sophia Gawron was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment

808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704(888) 428-7890 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Feb 27, 2023, Feb 24, 2023 (3 updates tracked since 2023).

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About Sophia Anne-marie Gawron Lcsw NPPES

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

SOPHIA ANNE-MARIE GAWRON LCSW (NPI 1437809712) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (149.028378) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437809712

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSOPHIA ANNE-MARIE GAWRONCredential: LCSW

Location Address808 S ELDORADO RD STE 102Bloomington, IL 61704-6075

Mailing Address808 S Eldorado Rd Ste 102Bloomington, IL 61704-6075 · (888) 428-7890

Phone(888) 428-7890

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 28, 2022

Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1437809712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.028378

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 150.106917 (IL)

808 S ELDORADO RD STE 102, Bloomington, IL 61704

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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

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

Sophia Anne-marie Gawron 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 ID1153857024

PECOS Enrollment IDI20241216002729

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 Reassignment

Medicare enrollment records show Sophia Gawron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.

95 mi

Psychologist

2948 ARTESIAN RD STE 112
Naperville, IL 60564

Reassigned Medicare billing, Illinois enrollment
475 clinicians in this Medicare group

NPI 1295914646 (630) 428-7890

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 61704 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.

Other Providers at the Same Location NPPES 14

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

VICTORIA FETTER

Counselor (Mental Health)