MS. SHANNON GAMBILL (NPI# 1770913436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770913436 |
| Entity Type | Individual |
| Full Name | MS. SHANNON GAMBILL |
| Credential | LCSW |
| Practice Address |
4010 Dupont Cir Ste 582 Louisville KY 40207-4888 |
| Mailing Address |
2536 Ridgewood Ave Louisville KY 40217-1949 |
| Practice Telephone | 5028995411 |
| Mailing Telephone | 5026496864 |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2013-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1911 | KY | Behavioral Health & Social Service Providers |
| Street Address |
4010 DUPONT CIR STE 582 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721757 | Zakary Eugene Kendall | Counselor | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2013-11-14 |
| 1881204493 | Yitza Danger Mercaderes | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2020-08-07 |
| 1700434636 | Benjamin Martin Wilson | Marriage & Family Therapist | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-09-04 |
| 1164075875 | Michelle Ann Moore | Case Manager/Care Coordinator | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-07-22 |
| 1497318083 | Brianna Nalley | Marriage & Family Therapist | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-04-18 |
| 1578025086 | Ebonee M Brown | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-04-03 |
| 1750848131 | Ashanti Dioh | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-02-21 |
| 1740746122 | Sarah Mckinney Laughlin | Counselor | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2019-02-11 |
| 1386115020 | Almina Klanco | Counselor | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2018-12-06 |
| 1669956181 | Brittney Reed | Social Worker | 4010 Dupont Cir Ste 582, Louisville, KY 40207-4888 | 2018-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797911 | Harvetta K Ray | Social Worker | 1426 S 28th St, Louisville, KY 40211-1729 | 2020-07-14 |
| 1083235360 | Julie Elfers | Social Worker | 700 Front St Ste 208, Louisville, CO 80027-1805 | 2020-04-28 |
| 1699301291 | James Casey Newman | Social Worker | 7121 Black Walnut Cir, Louisville, KY 40229-6402 | 2020-03-16 |
| 1467086744 | Kathryn Fischer | Social Worker | 1009 Rosemary Dr, Louisville, KY 40213-1119 | 2020-02-26 |
| 1497385496 | Katelyn Mensing | Social Worker | 531 W Whitney Ave Apt 1, Louisville, KY 40215-2835 | 2020-01-19 |
| 1386280683 | Jayan Thomas Lcsw LLC | Social Worker | 13113 Eastpoint Park Blvd Ste G, Louisville, KY 40223-4191 | 2019-11-21 |
| 1619511615 | Children's Safe Haven, LLC | Social Worker | 1939 Goldsmith Ln Ste 130, Louisville, KY 40218-3175 | 2019-11-01 |
| 1518500693 | Samantha Catherine Renschler | Social Worker | 4010 Dupont Cir Ste 300, Louisville, KY 40207-4881 | 2019-10-22 |
| 1124660287 | Andrea Bland | Social Worker | 4820 Greenvale Cir, Louisville, KY 40272-3181 | 2019-10-10 |
| 1164063665 | Lisa Spencer | Social Worker | 3906 Wewoka Ave, Louisville, KY 40212-2852 | 2019-10-05 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.