Kolby Mertz Gambill, LICSW
NPI 1669858601ActiveIndividual· Social Worker, Clinical· Port Townsend, WA
Social Worker, Clinical (LICSW) with Jefferson County Public Hospital District No 2, practicing in Port Townsend, Washington. Medicare paid $10,654 for services to 33 patients in 2024.
Overview
| NPI | 1669858601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Jul 31, 2015 |
| Last updated in NPPES | Oct 29, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW60163613 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 173 across 4 procedure codes |
| Paid by Medicare | $10,654 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Jefferson County Public Hospital District No 2Port Townsend, WA · 147 clinicians
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