Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth G Gamboa-Reynolds, LCSW

Individual provider Counselor · NPI 1689255291

Elizabeth G Gamboa-Reynolds, LCSW is a Counselor in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2108 63rd St
Kenosha, WI 53143-4454
Phone: (262) 652-2406
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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 9880 (WI)
Counselor Taxonomy 101Y00000X · Licence 131302121 (WI)

Record details

NPI number1689255291
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

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