Renee Reilly Gambell, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118888 Issued in MA

Practice address

80 Washington St Ste C17
Norwell, MA 02061-1729

Phone

(781) 561-0062

NPI assigned

Jul 29, 2008

Last updated

Jan 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Reichert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 24, 2021 through May 24, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shine Counseling and Wellness, LLC

  • Community/Behavioral Health Agency
  • Norwell, MA
  • NPI 1033611520
  Authorized official Same address or phone

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1497911507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 SALEM ST",
            "city": "ROCKLAND",
            "state": "MA",
            "postal_code": "023702138",
            "telephone_number": "541-410-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE C17",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611729",
            "telephone_number": "781-561-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBELL",
        "first_name": "RENEE",
        "middle_name": "REILLY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "REICHERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lara B Furtado
• Lucas Furtado
• Sarah Furtado
• Jacquelyn Marie Gadsby, CCC-SLP
• Ashley L Gallardo
• Charles J. Garzsik, DMD
• Laura Diehl Gaskins, M.S.W.
• Angela Gates, FNP
• Renee Nicole Gaudette McRae, FNP, APRN
• Jacklyn S Gavin

• Clinical Social Worker in Norwell, MA
• Providers in Norwell, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.