Individual provider · Type 1 NPI

Gina Marie Gambardella, LICSW

Clinical Social Worker · Boston, MA

NPI number 1124163092 Active

Practice location

25 Staniford St
Boston, MA 02114-2503

Mailing address

93 Myrtle Ave
Wakefield, MA 01880-4025

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1024099 (MA)

Clinical Social Worker: 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 interpers…

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About NPI 1124163092

Gina Marie Gambardella, LICSW's National Provider Identifier is 1124163092, issued on Feb 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.