Healthcare Provider Details

I. General information

NPI: 1770678898
Provider Name (Legal Business Name): LEANNE RAE GILBERG LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEANNE RAE O'DONNELL-GILBERG LCSW

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3077 W JEFFERSON ST SUITE 108
JOLIET IL
60435-5262
US

IV. Provider business mailing address

25234 W. TOWPATH LANE
CHANNAHON IL
60410-9322
US

V. Phone/Fax

Practice location:
  • Phone: 816-260-4020
  • Fax:
Mailing address:
  • Phone: 815-467-6651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberTYPE 73 CERTIFICATE
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: