Dana T Gamallo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7018 Issued in OR

Practice address

565 Union St NE Ste 208C
Salem, OR 97301-2418

Phone

(503) 374-4417

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Polk Yamhill & Marion Child Treatment Services Inc

  dba Poyama Counseling Services

  • Counselor
  • Salem, OR
  • NPI 1760685176

  Clinical

  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1083955629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 DOUGHTON ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025518",
            "telephone_number": "503-374-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 UNION ST NE STE 208C",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012418",
            "telephone_number": "503-374-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMALLO",
        "first_name": "DANA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lorene Gallagher, RDH
• William Joseph Gallagher, M.D.
• Shannon Gallogly
• Johnny W. Galver, PT
• Stephanie Marie Galver, LMT
• Leif Joseph Gambee, DMD
• Ronald Lamans Gamble
• Flordeliza Cabillon Gammaru, PT
• Raul Aggabao Gammaru Jr., PT
• Diana Ganahl, PTA

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.