MRS. MARISSA JEAN GAMBLE


Address: 1300 2nd Ave Ste 210, Conway, SC 29526-5205
Phone: 8434881615

MRS. MARISSA JEAN GAMBLE (NPI# 1740647023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740647023
Entity Type Individual
Full Name MRS. MARISSA JEAN GAMBLE
Credential LMSW
Practice Address 1300 2nd Ave Ste 210
Conway
SC 29526-5205
Practice Telephone 8434881615
Practice Fax Number 8434881616
Mailing Telephone 8434881615
Mailing Fax Number 8434881616
Enumeration Date 2016-01-18
Last Update Date 2016-01-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 9610 SC Behavioral Health & Social Service Providers

Other Providers MARISSA GAMBLE

NPI Name Taxonomy Address Enumeration
1255997847 Marissa Leigh Gamble Nurse Practitioner 400 Timms Rd Ne, Calhoun, GA 30701-7016 2019-05-19

Office Location

Street Address 1300 2ND AVE STE 210
City CONWAY
State SC
Zip Code 29526-5205

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
Find all providers in zip 29526

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053893909 Kim Marie Matte Social Worker 19 Holly Ridge Lane, Conway, NH 03818 2018-09-06
1720463276 Ashlea N Collins Social Worker 81 North Creek Drive, Conway, AR 72032 2015-07-27
1497989107 Virginia A Austin Social Worker 317 Oak St, Conway, AR 72032-4617 2009-05-08
1578160925 Karmesha Coleman Social Worker 350 Salem Rd, Conway, AR 72034-7525 2020-10-07
1083220073 Heather Cunningham Social Worker 25 W Main St, Conway, NH 03818-6142 2020-09-16
1568076214 Karen Kilegle Buchanana Social Worker 25 W Main St, Conway, NH 03818-6142 2020-09-01
1134730765 Maria Camila Gaviria Social Worker 25 W Main St, Conway, NH 03818-6142 2020-08-17
1376154054 Courtney Brooke Dunham Social Worker 25 W Main St, Conway, NH 03818-6142 2020-08-14
1003424599 Patrick Dowling Social Worker 25 W Main St, Conway, NH 03818-6142 2020-07-21
1568083210 Kristen Mottey Social Worker 1608 Main St, Conway, SC 29526-3572 2020-05-05
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 29526

Improve Information

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Dataset Information

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.

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