Active NPIIndividual providerSole proprietor

Jacqueline Gambardella, LCSW

Social Worker, Clinical in Maplewood, New Jersey

NPI Number1427453349
Practice location
98 Rutgers St, Maplewood, NJ 07040-3250
Fax
—
Last updated
May 25, 2023

Jacqueline Gambardella is a Social Worker, Clinical based in Maplewood, NJ. Jacqueline Gambardella practices in Maplewood, NJ and has the professional credentials of LCSW. The NPI Number for Jacqueline Gambardella is 1427453349 and holds a License No. 074564-1 (NY). The current practice location address for Jacqueline Gambardella is 98 Rutgers St, Maplewood, NJ 07040-3250 and can be reached out via phone at 917-734-9237.

Provider Profile Details

NPI Number
1427453349
Provider Name
Jacqueline Gambardella
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
98 Rutgers St, Maplewood, NJ 07040-3250
Phone Number
917-734-9237
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Jacqueline Mcgowan, LCSW (Former Name)
Provider Enumeration Date
November 4, 2014
Last Update Date
May 25, 2023
Certification Date
May 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
98 Rutgers St
Maplewood, NJ 07040-3250
Zip
07040-3250
Phone Number
917-734-9237
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
160 Lawrence Ave
Brooklyn, NY 11230-1103
City
Brooklyn
State
NY
Zip
11230-1103
Phone Number
718-436-7979

License Information

License Number (1)
074564-1
License State (1)
NY
Taxonomy (1)
Social Worker, School · 1041S0200X
License Number (2)
44SC05844600
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Maplewood, NJ

View all Social Worker, Clinical providers in Maplewood →

Frequently Asked Questions

What is the NPI number of Jacqueline Gambardella, LCSW?

The NPI number of Jacqueline Gambardella, LCSW is 1427453349. It was assigned on November 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Gambardella, LCSW?

Jacqueline Gambardella, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 074564-1.

Where does Jacqueline Gambardella, LCSW practice?

The practice location is 98 Rutgers St, Maplewood, NJ 07040-3250. The office can be reached at 917-734-9237 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427453349 directly on the NPPES registry website.

Browse related providers