Alise H Gemmell, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11297501 Issued in NY

Practice address

219 Dawley Rd
Fayetteville, NY 13066-2546

Phone

(570) 620-5464

NPI assigned

Oct 14, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: alise.gemmell.p1@direct.liberty-resources.nextgenshare.com

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1710603345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 DAWLEY RD",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662546",
            "telephone_number": "570-620-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 DAWLEY RD",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662546",
            "telephone_number": "570-620-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMELL",
        "first_name": "ALISE",
        "middle_name": "H",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11297501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Renee Friedman, SLP, MS-CCC-L
• Patrick M Fuller, LMT
• Paul Edward Gardner, OD
• Rachel Miller Gattuso, NPP
• Joseph C Gazzini, PHD LCSW BCD
• Jamie L Ghany, PHD
• Roshan Ghimire, MD
• Glenn Gilberg, PA
• Lauren Krisak Gilkey, RPA-C
• Mackenzie R Gillett

• Social Worker in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.