MARIELLE KALAW GAMO (LCSW) – Clinical Social Worker, NPI 1013896943

MARIELLE KALAW GAMO (LCSW) is a healthcare provider. based in Oak park, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.028726 (IL). The NPI Number for MARIELLE KALAW GAMO (LCSW) is 1013896943

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARIELLE KALAW GAMO (LCSW)
NPI
1013896943
Phone
(630) 297-2164
Address
1431 N HARLEM AVE # 2
Enumeration Date
27 August 2025
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082602030
Graduation Year
2021 (5 years ago)
PAC ID
2163912395
Group Practice PAC ID
6002244118
Professional Enrollment ID
I20251106003012
Address ID
IL60477XXXXTIXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MARIELLE KALAW GAMO (LCSW)

  • 1431 N HARLEM AVE # 2

    OAK PARK, IL 603021208

    Phone: (630) 297-2164

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251106003012IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002244118View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical PsychologistIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up MARIELLE KALAW GAMO (LCSW) by NPI?
Use NPI 1013896943 when you need to reference MARIELLE KALAW GAMO (LCSW) in forms, claims, or directories.
Is MARIELLE KALAW GAMO (LCSW)'s NPI currently valid?
The extract we use shows MARIELLE KALAW GAMO (LCSW) as active.
Does MARIELLE KALAW GAMO (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MARIELLE KALAW GAMO (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARIELLE KALAW GAMO (LCSW)?
The page summarizes Oak Park, Illinois for MARIELLE KALAW GAMO (LCSW); expand the address list for detail.
Is MARIELLE KALAW GAMO (LCSW) a real provider?
This page reflects official NPPES data for NPI 1013896943. Always confirm identity and privileges with the practice and licensing boards.

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