Active NPI
Gail Marie Campbell, LCSW
- Clinical Social Worker
- Berkeley, CA
National Provider Identifier
1144351206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24732
- Practice address
- 2855 Telegraph Ave. Suite 515
Berkeley, CA 94705 - Phone
- (888) 588-8975
- NPI assigned
- Mar 8, 2007
- Reactivated
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24732 | CA | Primary |
Addresses
Primary practice location
2855 Telegraph Ave. Suite 515
Berkeley, CA 94705
Mailing address
PO Box 4045
Torrance, CA 90510-4045
Other names 1
- Gail Marie Gacho Demonteverde
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24732 | CA | MD | Clinical Social Worker |
Interoperability endpoints
- gail.marie.campbell.1@25119.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1144351206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4045",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905104045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 TELEGRAPH AVE. SUITE 515",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "888-588-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "GAIL MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"deactivation_date": "2021-02-18",
"reactivation_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "24732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GAIL MARIE",
"last_name": "DEMONTEVERDE",
"middle_name": "GACHO",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.