Provider Demographics
NPI:1427925981
Name:GABEL, KIMBERLY (LISW)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:
Last Name:GABEL
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 JOLYNN ST NE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-4061
Mailing Address - Country:US
Mailing Address - Phone:330-844-3289
Mailing Address - Fax:
Practice Address - Street 1:4111 BRADLEY CIR NW STE 150
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2563
Practice Address - Country:US
Practice Address - Phone:330-305-2753
Practice Address - Fax:330-639-1712
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.25069871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical