CLIFFORD GAMBRELL – Clinical Social Worker, NPI 1154700656

CLIFFORD GAMBRELL is a healthcare provider. based in Mcminnville, Tennessee. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 9485 (TN). The NPI Number for CLIFFORD GAMBRELL is 1154700656

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
CLIFFORD GAMBRELL
NPI
1154700656
Phone
Not provided
Address
406 N SPRING ST
Enumeration Date
29 May 2015
Last Update Date
29 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9318153871
Graduation Year
2012 (14 years ago)
PAC ID
8921304395
Group Practice PAC ID
3779491907
Professional Enrollment ID
I20160310001201
Address ID
TN373577503MO5736XHWYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

828 CLINICAL SOCIAL WORKER in TN

Provider Addresses for CLIFFORD GAMBRELL

  • 406 N SPRING ST

    MCMINNVILLE, TN 371102134

    Phone:

    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: 2016-03-10

PECOS data refreshed: 2026-05-27

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
I20160310001201IClinical Social WorkerTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes13833$0
90791Psychiatric diagnostic evaluation3434$0
View full utilization report →

Insurance plans in this area (ZIP 37110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779491907View full group profile
NameSpecialtyState
-TN
Marriage And Family TherapistCA
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Mental Health CounselorTN
Mental Health CounselorTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the standard ID for CLIFFORD GAMBRELL in the U.S.?
In the U.S., CLIFFORD GAMBRELL is identified by NPI 1154700656.
Should I treat CLIFFORD GAMBRELL as an active provider?
Patients and plans typically see CLIFFORD GAMBRELL as active in the national extract.
What services align with CLIFFORD GAMBRELL's listing?
CLIFFORD GAMBRELL's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to CLIFFORD GAMBRELL?
The directory associates CLIFFORD GAMBRELL with Mcminnville, Tennessee. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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