Shallahda V Gamble, LPN, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150116805 Issued in IL

Practice address

2219 W Thome Ave Apt 1a
Chicago, IL 60659-2942

Phone

(773) 444-8823

NPI assigned

Nov 5, 2025

Last updated

Nov 5, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1689544793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 W THOME AVE APT 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 W THOME AVE APT 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592942",
            "telephone_number": "773-444-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "SHALLAHDA",
        "middle_name": "V",
        "name_prefix": "Miss",
        "credential": "LPN, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150116805",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043128148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Ann Gamauf McCoy, LCSW
• Katheryn Ellen Gambetta, MD
• Charlotte Gambla
• Jennifer Y Gambla
• Gail L Gamble, M.D.
• Anthony Gamblin, MPT
• Patricia Gamboa-Choate, RN
• David G Gamboa
• Elsa Gamboa, DDS
• Evelyn Gamboa, MOT, OTR/L

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.