Individual provider Active NPI

Maria Dolores Gandell, PH.D., A.C.S.W.

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1144488313
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3298 Issued in FL
Practice address
4406 Melton Ave
Tampa, FL 33614-7218
Phone
(407) 873-0759
Fax
(813) 289-6906
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW3298 FL
Clinical Social Worker 1041C0700X SW3298 FL Primary

Addresses

Primary practice location

4406 Melton Ave
Tampa, FL 33614-7218

Mailing address

PO Box 271384
Tampa, FL 33688-1384
Phone (813) 282-3618

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW3298FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1144488313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271384",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336881384",
            "telephone_number": "813-282-3618",
            "fax_number": "813-289-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 MELTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147218",
            "telephone_number": "407-873-0759",
            "fax_number": "813-289-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDELL",
        "first_name": "MARIA",
        "middle_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "PH.D., A.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW3298",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.