Lisa Marie Gambino, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019725 Issued in PA

Practice address

440 E Girard Ave
Philadelphia, PA 19125-3326

Phone

(267) 607-9161

NPI assigned

Dec 5, 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

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1861907438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N BROOKFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343743",
            "telephone_number": "908-917-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253326",
            "telephone_number": "267-607-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Gamba, D.D.S.
• Corina Gamber, PA-C
• Richard A. Gambescia, MD
• Julia Mika Gambino
• Leigha Gambino, CRNP
• Aldis Richards Gamble, LSW
• Sarah Gamble
• Susan Gamble, DPM
• Joanne Gambo, CRNP
• Luis Ledesma Gamboa, M.D.

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

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