JUSTIN JOHN GAMBLE – Counselor, NPI 1164689444

JUSTIN JOHN GAMBLE is a healthcare provider. based in Chelsea, Massachusetts. specializing in CLINICAL SOCIAL WORKER. The NPI Number for JUSTIN JOHN GAMBLE is 1164689444

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN JOHN GAMBLE
NPI
1164689444
Phone
(617) 912-7996
Address
300 BROADWAY
Enumeration Date
22 May 2008
Last Update Date
22 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8574965881
Graduation Year
2009 (17 years ago)
PAC ID
6507000874
Professional Enrollment ID
I20130926000703
Address ID
MA021521047WI185XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

4,246 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for JUSTIN JOHN GAMBLE

  • 300, Broadway, Chelsea Parade Historic District, Norwich, New London County, Connecticut, 06360, United States

    CHELSEA, MA 021502808

    Phone: (617) 912-7996

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130926000703IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02150)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JUSTIN JOHN GAMBLE?
JUSTIN JOHN GAMBLE — NPI 1164689444 — is the standard way to identify this listing.
Can I rely on JUSTIN JOHN GAMBLE being an active provider?
As of the registry snapshot, JUSTIN JOHN GAMBLE is marked active.
What is JUSTIN JOHN GAMBLE's primary classification?
Counselor is the headline specialty for JUSTIN JOHN GAMBLE here. Clinical services aligned with this taxonomy classification.
Does JUSTIN JOHN GAMBLE list a practice location?
Patients near Chelsea, Massachusetts may find JUSTIN JOHN GAMBLE in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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