Active NPI
Camile S Gayle, LCSW
- Clinical Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1063739191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11284
- Practice address
- 900 NE 18TH Ave
1207
Ft Lauderdale, FL 33304-3063 - Phone
- (917) 573-5411
- NPI assigned
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | CD (DONA) | FL | |
| Clinical Social Worker | 1041C0700X | 079651-1 | NY | |
| Clinical Social Worker | 1041C0700X | SW11284 | FL | Primary |
Addresses
Primary practice location
900 NE 18TH Ave
1207
Ft Lauderdale, FL 33304-3063
Mailing address
22053 Palms Way
Apt #202
Boca Raton, FL 33433-8091
Phone (917) 573-5411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079651-1 | NY | MD | Clinical Social Worker |
| CD (DONA) | FL | MD | Doula |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board for Family and Children Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1366685430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431734400000",
"number": "1063739191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22053 PALMS WAY",
"address_2": "APT #202",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334338091",
"telephone_number": "917-573-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NE 18TH AVE",
"address_2": "1207",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333043063",
"telephone_number": "917-573-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYLE",
"first_name": "CAMILE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-29",
"last_updated": "2015-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "FL",
"license": "CD (DONA)",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079651-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.