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

Individual provider Clinical Social Worker · NPI 1346614435

Renita Shores-Gaston, LCSW is a Clinical Social Worker in Rockford, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2015
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

5844 Elaine Dr Ste 101
Rockford, IL 61108-2494
Phone: (815) 373-3027
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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 149.017848 (IL)

Record details

NPI number1346614435
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 30, 2015
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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