Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Gina Marie Gambardella, LICSW

Individual provider Clinical Social Worker · NPI 1124163092

MS. Gina Marie Gambardella, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 1992, 34 years ago. Practices with The Commonwealth of Massachusetts, a 144-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
34
Licensed in
MA
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

25 Staniford St
Boston, MA 02114-2503
Phone: (617) 626-8649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1024099 (MA)

Record details

NPI number1124163092
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice The Commonwealth Of Massachusetts — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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