| Timothy Scott Gobek, LCSW | |
|
4900 Broadway, Gary, IN 46408-4605 | |
| (219) 237-5170 | |
| (219) 321-1931 |
| Full Name | Timothy Scott Gobek |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4900 Broadway, Gary, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730487273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34001571A (Indiana) | Primary |
| Entity Name | Oak Street Health Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20150608000402 |
| Entity Name | Main Street Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407001506 PECOS PAC ID: 1951690890 Enrollment ID: O20160517001746 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210416002216 |
| Entity Name | Vitae Health Medical Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396493433 PECOS PAC ID: 1153708086 Enrollment ID: O20220516001732 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Scott Gobek, LCSW Po Box 746721, Atlanta, GA 30374-6721 Ph: (312) 733-9730 | Timothy Scott Gobek, LCSW 4900 Broadway, Gary, IN 46408-4605 Ph: (219) 237-5170 |
Mora Spicer Ii, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Mr. Kenneth Earl Abrams Jr., MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4795 Broadway, Gary, IN 46409 Phone: 219-887-3688 Fax: 219-887-2666 | |
Elaine Spicer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 N Warren St, Gary, IN 46403 Phone: 219-512-2642 | |
Francisco Javier Ramirez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Virni Webb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-427-1672 | |
Cynthia Oliver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2179 Grant St, Gary, IN 46404 Phone: 219-944-7767 | |
Jennifer Noonan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 Fax: 219-321-1931 |