Gomberg, Michelle

Gomberg, Michelle is an individual health care provider with primary practice located at 11 S 2Nd Ave Ste 5 , St Charles IL 60174-1941. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gomberg, Michelle can be contacted via phone (630) 465-1921.

Contact Information

Primary practice address
11 S 2Nd Ave Ste 5 St Charles IL 60174-1941
Phone: (630) 465-1921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149012326 Illinois

Profile Details

NPI number 1578781720
LBN Legal business name Gomberg, Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Aug 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers