Elizabeth G. Gamboa-Reynolds, LCSW
NPI 1689255291ActiveIndividual· Social Worker, Clinical· Pleasant Prairie, WI
Social Worker, Clinical (LCSW) in Pleasant Prairie, Wisconsin, licensed in WI, with an NPI issued in April 2021. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1689255291 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 15, 2021 |
| Last updated in NPPES | Nov 3, 2026 |
| Certified by provider | Nov 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 9880 | WI |
| Counselor | 101Y00000X | 131302121 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
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