Provider Demographics
NPI:1740291244
Name:GAMBEL, RICHARD REES (LMSW)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:REES
Last Name:GAMBEL
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11073 BAINBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-1809
Mailing Address - Country:US
Mailing Address - Phone:501-221-1217
Mailing Address - Fax:
Practice Address - Street 1:2200 FORT ROOTS DR.
Practice Address - Street 2:BLDG 170 RM 1L-153
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114
Practice Address - Country:US
Practice Address - Phone:501-257-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR401-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical