Active NPI
Schaune Daydrea Gamble, LCSW
- Clinical Social Worker
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05876800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 81.01
- Improvement activities
- 40
- Cost
- 88.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Therapy LLC | Professional | Current | Accepting new patients |
| Supportive Care Psychology of NJ PC | Current | Accepting new patients | |
| Grow Healthcare Group of New Jersey PC | Professional | Current | Accepting new patients |
| Family Innovation and Consultation | Current | Accepting new patients | |
| Total Life Inc. | Current | 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.
-
- Clinical Psychologist
- Howell, NJ
- NPI 1356840003
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
Professional
-
- Community/Behavioral Health Agency
- Newark, NJ
- NPI 1598270795
-
- Cognitive & Behavioral Psychologist
- New Brunswick, NJ
- NPI 1104659614
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1497832919
-
- Psychiatry Physician
- San Jose, CA
- NPI 1942935473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.