Dr. Gina Blanche Gaston, MSW, PHD, LCSW
Dr. Gina Blanche Gaston, MSW, PHD, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 1998, 28 years ago. Practices with Mathers Clinic LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 28
- Licensed in
- IL
- In the registry since
- 2019
What do these letters mean?
Practice location Address checks out
820 S Damen Rm 8434Chicago, IL 60612
Phone: (312) 569-8246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149-009190 (IL) |
|---|
Record details
| NPI number | 1396206827 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSW , PHD , LCSW |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2019 |
| Last updated in NPPES | March 27, 2019 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Group practice | Mathers Clinic Llc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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