ELIZABETH G GAMBOA-REYNOLDS LCSW
NPI 1689255291
Social Worker - Clinical in Kenosha, WI

Q: What is Elizabeth Gamboa-reynolds's NPI number?

The NPI number for Elizabeth Gamboa-reynolds is 1689255291. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Q: What is Elizabeth Gamboa-reynolds's specialty?

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

Active since April 15, 2021PECOS Enrolled

2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2022, Apr 15, 2021 (2 updates tracked since 2021).

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About Elizabeth G Gamboa-reynolds Lcsw NPPES

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

ELIZABETH G GAMBOA-REYNOLDS LCSW (NPI 1689255291) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (9880) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689255291

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELIZABETH G GAMBOA-REYNOLDSCredential: LCSW

Location Address2108 63RD STKenosha, WI 53143-4454

Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004

Phone(262) 652-2406

Sole ProprietorNo

Enumeration DateApril 15, 2021

Last NPPES UpdateFebruary 21, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2022

✔ NPI 1689255291 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 WI · 9880

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 ListedCounselorTaxonomy 101Y00000X · License 131302121 (WI)

2108 63RD ST, Kenosha, WI 53143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth G Gamboa-reynolds Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53143 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

JESSICA MARTZAHL LPC

Counselor (Professional)