| Brooks Hamilton Gale, LCSW | |
|
1120 Nj-73, 300, Mount Laurel Township, NJ 08054-4976 | |
| (904) 559-4383 | |
| Not Available |
| Full Name | Brooks Hamilton Gale |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1120 Nj-73, Mount Laurel Township, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417608936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904013487 (Virginia) | Primary |
| Entity Name | Coastal Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639264112 PECOS PAC ID: 7012997380 Enrollment ID: O20040726000886 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooks Hamilton Gale, LCSW 1120 Nj-73, 300, Mount Laurel Township, NJ 08054-4976 Ph: (904) 559-4383 | Brooks Hamilton Gale, LCSW 1120 Nj-73, 300, Mount Laurel Township, NJ 08054-4976 Ph: (904) 559-4383 |
Ms. Lorraine Yvonne Jefferson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1120 Nj-73, Suite 300, Mount Laurel Township, NJ 08054 Phone: 615-933-8887 | |
Jessica Scales, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1120 Nj 73, Suite 300, Mount Laurel Township, NJ 08054 Phone: 904-712-3793 |