Emma Micheli Gallenberger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001177A Issued in IN

Practice address

8200 Georgia St
Merrillville, IN 46410-6227

Phone

(219) 791-1400

Fax

(219) 791-1422

NPI assigned

Feb 8, 2007

Last updated

Nov 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1407996127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SANDY RIDGE RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111987",
            "telephone_number": "219-865-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GEORGIA ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106227",
            "telephone_number": "219-791-1400",
            "fax_number": "219-791-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLENBERGER",
        "first_name": "EMMA",
        "middle_name": "MICHELI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001177A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000523706",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Gagliardi, LSW
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• Shelby Gaither, HAD
• William Guo Galanos, DDS
• Peter Gallagher, MD
• Leah Renee Gallo
• Alicia Christina Galvan, RBT
• Reina Galvan
• Ganiyu Azeez PT
• Cayle Gao

• Clinical Social Worker in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.