Gabrielle Elizabeth Faggella, M.S.S.A., L.I.S.W.-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0004136 Issued in OH

Practice address

3094 W Market St
Suite 110
Fairlawn, OH 44333-3626

Phone

(330) 836-8370

Fax

(330) 836-8373

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Palladium Counseling Group, Inc.

  • Clinical Social Worker
  • Fairlawn, OH
  • NPI 1225247786
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1093924557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST",
            "address_2": "SUITE 110",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333626",
            "telephone_number": "330-836-8370",
            "fax_number": "330-836-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 W MARKET ST",
            "address_2": "SUITE 110",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333626",
            "telephone_number": "330-836-8370",
            "fax_number": "330-836-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGELLA",
        "first_name": "GABRIELLE",
        "middle_name": "ELIZABETH",
        "credential": "M.S.S.A., L.I.S.W.-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0004136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Estes
• Amy Marie Evans, PHARMD
• Evant Inc.
• Nyla Olae Everett
• Chad Edward Everson, PTA
• Shawn Michael Fahey, MS ATC
• Stephanie Raye Fain-Jones, COTA/L
• Abigail Elizabeth Fairbanks
• Fairlawn Dermatology, LLC
• Fairlawn Family Practice Inc.

• Clinical Social Worker in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.