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SCHAUNE DAYDREA GAMBLE LCSW
NPI 1295055713
Social Worker - Clinical in Newark, NJ

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
569 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102(917) 288-1100 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Dec 11, 2023 (2 updates tracked since 2023).

About Schaune Daydrea Gamble Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCHAUNE DAYDREA GAMBLE LCSW (NPI 1295055713) is an individual clinical provider in Newark, New Jersey, licensed in New Jersey (44SC05876800) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1295055713
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSCHAUNE DAYDREA GAMBLECredential: LCSW
Location Address569 DR MARTIN LUTHER KING JR BLVDNewark, NJ 07102-1247
Mailing Address475 Ridge StNewark, NJ 07104-1423 · (917) 288-1100 · Fax (718) 363-3005
Phone(917) 288-1100
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 7, 2010
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1295055713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05876800
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 44SC05876800 (NJ)
569 DR MARTIN LUTHER KING JR BLVD, Newark, NJ 07102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Schaune Daydrea Gamble Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133554181
PECOS Enrollment IDI20200121001602
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
927 services44 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
509 services45 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
27 services27 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.54
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY INNOVATION AND CONSULTATION
Community/Behavioral Health
569 DR MARTIN LUTHER KING JR BLVD
NEWARK, NJ 07102
Essex County (917) 288-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Schaune Gamble's NPI number?

The NPI number for Schaune Gamble is 1295055713. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Schaune Gamble located?

Schaune Gamble practices at 569 Dr Martin Luther King Jr Blvd, Newark, NJ 07102. The listed phone number is (917) 288-1100.

What is Schaune Gamble's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Schaune Gamble enrolled in Medicare?

Yes. Schaune Gamble is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Schaune Gamble accept?

Health plans from Providence Health Plan list Schaune Gamble as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Schaune Gamble was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.