Individual provider Active NPI

Schaune Daydrea Gamble, LCSW

  • Clinical Social Worker
  • Newark, NJ
National Provider Identifier
1295055713
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05876800 Issued in NJ
Practice address
569 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-1247
Phone
(917) 288-1100
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 44SC05876800 NJ
Clinical Social Worker 1041C0700X 44SC05876800 NJ Primary

Addresses

Primary practice location

569 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-1247

Mailing address

475 Ridge St
Newark, NJ 07104-1423
Phone (917) 288-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20200121001602 NJ Practitioner - Clinical Social Worker 9133554181 Reassigns benefits to 5 organizations
Practice locations: Newark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care Psychology of NJ PCGroup PAC ID 6002162252, 23 clinicians
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

115 Dutch Lane Rd
Freehold, NJ 07728-5500
Phone (718) 298-4375

317 George St
Suite 320
New Brunswick, NJ 08901-2091
Phone (800) 567-5433

Merit-based Incentive Payment System (MIPS)

Final score
96.24 of 100Reported as group
Quality
81.01
Improvement activities
40
Cost
88.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LLC Professional CurrentSince Jun 1, 2022 Accepting new patients
Supportive Care Psychology of NJ PC CurrentSince Dec 15, 2019 Accepting new patients
Grow Healthcare Group of New Jersey PC Professional CurrentSince Nov 27, 2023 Accepting new patients
Family Innovation and Consultation CurrentSince Mar 24, 2025 Accepting new patients
Total Life Inc. CurrentSince Nov 1, 2023 Accepting new patients
Beverley Mack Harry Consulting Services Inc. Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

317 George St
Ste 320
New Brunswick, NJ 08901
Phone (317) 678-7000

569 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (917) 288-1100

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1295055713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 RIDGE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041423",
            "telephone_number": "917-288-1100",
            "fax_number": "718-363-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 DR MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021247",
            "telephone_number": "917-288-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "SCHAUNE",
        "middle_name": "DAYDREA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "44SC05876800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05876800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.