Richard Lamar Gamble II, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3012 Falstaff Rd
Raleigh, NC 27610-1813

Phone

(919) 615-1027

Fax

(919) 615-1501

NPI assigned

Jan 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Alternative Family Services, Inc

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1811122732
  NPD (past)
• Alternative Family Services, Inc.

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1356591606
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1124484605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101813",
            "telephone_number": "919-615-1027",
            "fax_number": "919-615-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101813",
            "telephone_number": "919-615-1027",
            "fax_number": "919-615-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Westgate Dr",
            "address_2": "Suite 604",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072567",
            "country_code": "US",
            "telephone_number": "919-493-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Executive Park Blvd Ste 4900",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941343335",
            "country_code": "US",
            "telephone_number": "415-656-0116 x41565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "RICHARD",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "94917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009812",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Gambini, PA-C
• Emily Grace Gamble, PA
• Joanna Marie Gamble, DMD
• Kim Joy Gamble
• Renee Gamble, CRNA
• Seriana Gamble, LMCHA
• Luis Fernando Gamboa, DMD
• Charles Michael Gammon, M.D., PH.D.
• Pooja Ganatra
• Ellen P Gander, RD, LDN, CEDRD-S

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.