Individual provider Active NPI

Gail Bialk, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1003145384
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13749 Issued in FL
Practice address
12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989
Phone
(239) 829-5494
Fax
(239) 645-4777
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 127934-121 WI
Clinical Social Worker 1041C0700X SW13749 FL Primary

Addresses

Primary practice location

12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989

Mailing address

12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989
Phone (239) 829-5494

Other names 1

  • Gail Yaunke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208002307 FL Practitioner - Clinical Social Worker 7012290471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fort Myers Psychology PAGroup PAC ID 6204936305, 9 clinicians

Practice addresses (Care Compare)

12791 World Plaza LN
BLDG 89
Fort Myers, FL 33907-3989
Phone (239) 829-5494

15950 McGregor Blvd
Fort Myers, FL 33908-2551
Phone (239) 826-7903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13749FLMDClinical Social Worker
127934-121WIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Myers Psychology, PA CurrentSince Dec 15, 2017 Accepting new patients
MCR Health, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Ultima Rehab-FL LLC CurrentSince May 29, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Jan 1, 2017 Accepting new patients

Locations

15950 McGregor Blvd
Fort Myers, FL 33908
Phone (239) 454-1277

12791 World Plaza Ln
Bldg 89
Fort Myers, FL 33907
Phone (239) 247-1756

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1003145384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12791 WORLD PLAZA LN BLDG 89",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073989",
            "telephone_number": "239-829-5494",
            "fax_number": "239-645-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12791 WORLD PLAZA LN BLDG 89",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073989",
            "telephone_number": "239-829-5494",
            "fax_number": "239-645-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIALK",
        "first_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "127934-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "YAUNKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.