Healthcare Provider Details

I. General information

NPI: 1689587396
Provider Name (Legal Business Name): DAVID GABEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 DICKSON ST STE 2
WELLINGTON OH
44090-1300
US

IV. Provider business mailing address

PO BOX 359
WELLINGTON OH
44090-0359
US

V. Phone/Fax

Practice location:
  • Phone: 440-828-0012
  • Fax: 440-828-0188
Mailing address:
  • Phone: 440-828-0012
  • Fax: 440-828-0188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2605399-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: