Michelle Alise Gamberdella

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1701744 Issued in OH

Practice address

1785 Big Hill Rd
Dayton, OH 45439-2219

Phone

(937) 264-0084

NPI assigned

Dec 6, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/choicesohio/r4/

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.

• Children Have Options in Caring Environments

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1861798662
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1629583125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 LAKEVIEW DR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453051717",
            "telephone_number": "937-602-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 BIG HILL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454392219",
            "telephone_number": "937-264-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBERDELLA",
        "first_name": "MICHELLE",
        "middle_name": "ALISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1701744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P Gallivan, PT
• Richard Laurent Gallois III
• Brian Gallow
• Melissa Elizabeth Gallow, DPT
• Lauren Catherine Galusha, CRNA
• Mary Louise Gambill, CLINICAL INTERN
• Wanda Jean Gamble, RN
• Alexandra Nicole Gambone, LMT
• Steven Robert Gamm, M.D.
• Gandhi Gi LLC

• Social Worker in Dayton, OH
• Providers in Dayton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.