| Mary D Gambrell, LCSW, CAP | |
|
7217 Gulf Blvd Ste 2, St Pete Beach, FL 33706-1952 | |
| (727) 498-6498 | |
| Not Available |
| Full Name | Mary D Gambrell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7217 Gulf Blvd Ste 2, St Pete Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740830942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW14980 (Florida) | Primary |
| Entity Name | Behavioral Health Management Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417052713 PECOS PAC ID: 1456262450 Enrollment ID: O20040115000480 |
| Entity Name | Winter Haven Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477599975 PECOS PAC ID: 4789578972 Enrollment ID: O20040210000095 |
| Entity Name | Baycare Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225312549 PECOS PAC ID: 4688649122 Enrollment ID: O20040830000131 |
| Entity Name | Baycare Behavioral Health Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245502152 PECOS PAC ID: 2567624836 Enrollment ID: O20120502000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary D Gambrell, LCSW, CAP 4648 30th Ave N, Saint Petersburg, FL 33713-2007 Ph: (727) 479-5018 | Mary D Gambrell, LCSW, CAP 7217 Gulf Blvd Ste 2, St Pete Beach, FL 33706-1952 Ph: (727) 498-6498 |
Dawne Era, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1701 Gulf Way Apt 1, St Pete Beach, FL 33706 Phone: 401-595-3456 |