Individual provider Active NPI

Brooks Hamilton Gale, LCSW

  • Clinical Social Worker
  • Mount Laurel Township, NJ
National Provider Identifier
1417608936
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013487 Issued in VA
Practice address
1120 NJ-73
300
Mount Laurel Township, NJ 08054-4976
Phone
(904) 559-4383
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904013487 VA Primary

Addresses

Primary practice location

1120 NJ-73
300
Mount Laurel Township, NJ 08054-4976

Mailing address

1120 NJ-73
300
Mount Laurel Township, NJ 08054-4976
Phone (904) 559-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220414000279 VA Practitioner - Clinical Social Worker 2062808355 Reassigns benefits to 2 organizations
I20230828002271 DC Practitioner - Clinical Social Worker 2062808355 Reassigns benefits to 2 organizations
I20260604000173 NJ Practitioner - Clinical Social Worker 2062808355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 15, 2023 Accepting new patients
Brightside Health, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 8, 2023 Accepting new patients
Coastal Counseling Center Inc Clinical CurrentSince Aug 6, 2023 Accepting new patients
Ronald W. Atwood, M.D., P.C. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3804 Wilson Blvd
#1318
Arlington, VA 22203

809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605

1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1417608936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NJ-73",
            "address_2": "300",
            "city": "MOUNT LAUREL TOWNSHIP",
            "state": "NJ",
            "postal_code": "080544976",
            "telephone_number": "904-559-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NJ-73",
            "address_2": "300",
            "city": "MOUNT LAUREL TOWNSHIP",
            "state": "NJ",
            "postal_code": "080544976",
            "telephone_number": "904-559-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "BROOKS",
        "middle_name": "HAMILTON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel Township, NJ

Sources for this page

Verify at the official NPI Registry.