Rebecca J. Gale, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-10350 Issued in NM

Practice address

1615 Ojo Court
Farmington, NM 84701

Phone

(505) 564-4804

NPI assigned

Aug 26, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Ute Indian TribeGroup PAC ID 6800928292, shared by 2 NPIs, 13 clinicians

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.

• Southern Ute Indian Tribe

  • Federally Qualified Health Center (FQHC)
  • Ignacio, CO
  • NPI 1407883309
  NPD (past)

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1801220975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 HIGHWAY 140",
            "city": "HESPERUS",
            "state": "CO",
            "postal_code": "813269354",
            "telephone_number": "303-521-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 OJO COURT",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "84701",
            "telephone_number": "505-564-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "REBECCA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "1899",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-10350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMS DBA TOTAH BEHAVIORAL HEALTH",
            "identifier": "1740659804",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Richard Froyd Jr., PH.D., LMFT
• Kellie L. Fuller, CMT,LMT
• James E. Fundark, LPCC
• G & G Medical Inc
• Jude Gabaldon, M.D.
• Mary Jane Gallahan, PA-C
• April Gallegos, LSAA
• Matt Gallegos, CPSW
• Stephanie Garcia Erives
• Alejandrina Garcia, SCHOOL PSYCHOLOGIST

• Clinical Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.