LAURA GAMBOA - NPI 1871216697 - Social Worker in Bay St Louis, MS

Q: What is the provider's specialty?

The provider's specialty is Social Worker with taxonomy code 104100000X.

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About Laura Gamboa NPPES

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

LAURA GAMBOA (NPI 1871216697) is an individual social worker in Bay St Louis, Mississippi, licensed in Mississippi (M10134) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1871216697

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLAURA GAMBOA

Location Address819B CENTRAL AVEBay St Louis, MS 39520-3913

Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952

Phone(228) 220-5454

Fax(228) 467-8521

Sole ProprietorNo

Enumeration DateSeptember 26, 2022

NPPES CertifiedSeptember 26, 2022

✔ NPI 1871216697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MS · M10134

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.

819B CENTRAL AVE, Bay St Louis, MS 39520

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Other Providers at the Same Location NPPES 9

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

GULF COAST MENTAL HEALTH CENTER

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities