Maryann Gambitta, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0007264 Issued in OH

Practice address

26777 Lorain Rd
Suite 716
North Olmsted, OH 44070-3200

Phone

(440) 777-9200

Fax

(440) 777-9288

NPI assigned

Sep 20, 2006

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

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Clinical Social Worker

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nancy Duff-Boehm, PH.D.

  • Clinical Psychologist
  • North Olmsted, OH
  • NPI 1730105362
  Medicare reassignment
• Nancy Duff-Boehm, PHD & Asssociates LLC

  • Clinical Psychologist
  • North Olmsted, OH
  • NPI 1245386036
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1700983533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 CALVIN DRIVE",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "44131",
            "telephone_number": "216-577-7822",
            "fax_number": "440-777-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD",
            "address_2": "SUITE 716",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703200",
            "telephone_number": "440-777-9200",
            "fax_number": "440-777-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBITTA",
        "first_name": "MARYANN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rose Furlong, MA CCC/SLP
• Kate Gaborko
• Courtney Gaddis
• Robert T Gallagher
• Mark Gallot, LICDC
• Garfield Lowcost Pharmacy LLC
• Maria Gayowski
• Nancy Geideman, RPH
• Genna Gelfand, DDS
• Geocare, Inc.

• Clinical Social Worker in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.