Individual provider · Type 1 NPI
Elizabeth Gamboa
Clinical Social Worker · Urbana, IL
Practice location
2210 Vawter St
Urbana, IL 61801-6944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149017242 (IL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1104752906
Elizabeth Gamboa's National Provider Identifier is 1104752906, issued on Jun 19, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Urbana, IL. The record was last updated on Jun 19, 2026.