| Doctor Name: | JODY M GAWEL |
| NPI Number: | 1376925396 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-C |
| License Number: | 17747 |
| Business Practice Address: | 30397 Mount Vernon Rd Princess Anne, MD - 218531438 |
| Business Phone Number: | 4106774334 |
| Business Fax Number: | 4106774265 |
| Mailing Address: | 30397 Mount Vernon Rd, P. O. Box 369 PRINCESS ANNE |
| State: | MD |
| Postal Code: | 218531438 |
| Phone Number: | 4106774334 |
| Fax Number: | 4106774265 |
| NPI Enumeration Date: | 06/25/2015 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 17747 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |