Provider Demographics
NPI:1649205139
Name:CAP, NANCY GIMPEL (MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:GIMPEL
Last Name:CAP
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 LAKE ST STE 426
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1185
Mailing Address - Country:US
Mailing Address - Phone:708-386-5755
Mailing Address - Fax:
Practice Address - Street 1:1010 LAKE ST STE 426
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1185
Practice Address - Country:US
Practice Address - Phone:708-386-5755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical