Gwendolyn Laura Bammel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087823 Issued in MI

Practice address

271 S Main St
Plymouth, MI 48170-1637

Phone

(734) 455-4095

NPI assigned

Mar 12, 2007

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gbammel1116173@direct.hfhs.org

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.

• Growth Works Inc.

  • Case Management Agency
  • Plymouth, MI
  • NPI 1386978385
  NPD (past)
• Growth Works, Inc

  • Addiction (Substance Use Disorder) Psychologist
  • Plymouth, MI
  • NPI 1851448146
  NPD (past)
• Henry Ford Health Eastwood Behavioral Health

  • Psychologist
  • Saint Clair Shores, MI
  • NPI 1104044676
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891827002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SARATOGA DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832645",
            "telephone_number": "248-457-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701637",
            "telephone_number": "734-455-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMMEL",
        "first_name": "GWENDOLYN",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balog Speech & Language Center PLLC
• Balog Speech & Language Center, PLLC
• Heather Lynn Balog, PH.D.
• Beverly Bambach
• Michael Andrew Bambery, PH.D.
• Janet Banks
• Patricia Ann Baran-Bubik, BA
• Lydia Baranyk
• Barbara a. Blom LLC
• Chad W Barber, D.D.S.

• Clinical Social Worker in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.