Active NPI
Brandy Sutton-Gamble, LICSW,PIP
- Clinical Social Worker
- Hueytown, AL
National Provider Identifier
1346995263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3956C
- Practice address
- 5924 Lawson Dr
Hueytown, AL 35023-5876 - Phone
- (205) 639-6996
- NPI assigned
- Feb 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3956C | AL | Primary |
Addresses
Primary practice location
5924 Lawson Dr
Hueytown, AL 35023-5876
Mailing address
5924 Lawson Dr
Hueytown, AL 35023-5876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Eleos |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3956C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1346995263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5924 LAWSON DR",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350235876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5924 LAWSON DR",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350235876",
"telephone_number": "205-639-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON-GAMBLE",
"first_name": "BRANDY",
"credential": "LICSW,PIP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "3956C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Eleos",
"affiliation": "N",
"address_1": "5924 Lawson Dr",
"city": "Hueytown",
"state": "AL",
"country_code": "US",
"postal_code": "350235876",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hueytown, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.