Provider Demographics
NPI:1972314763
Name:SINGER, GABRIELLE JORDAN (LCSW)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:JORDAN
Last Name:SINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4221 W SPRUCE ST APT 1104
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-4197
Mailing Address - Country:US
Mailing Address - Phone:631-798-7718
Mailing Address - Fax:
Practice Address - Street 1:9800 4TH ST N STE 310
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-2463
Practice Address - Country:US
Practice Address - Phone:727-732-4305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW240001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical