Individual provider Active NPI

Gail Decina, LCSW, MSW, CAP

  • Clinical Social Worker
  • Delray Beach, FL
National Provider Identifier
1063455426
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1986 Issued in FL
Practice address
17 Willowbrook LN Apt 102
Delray Beach, FL 33446-1644
Phone
(954) 540-7415
NPI assigned
Jun 14, 2006
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW1986 FL Primary

Addresses

Primary practice location

17 Willowbrook LN Apt 102
Delray Beach, FL 33446-1644

Mailing address

17 Willowbrook LN Apt 102
Delray Beach, FL 33446-1644
Phone (954) 540-7415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000737 FL Practitioner - Clinical Social Worker 1557435054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lets Talk 4 Health LLCGroup PAC ID 9830554757, 3 clinicians

Practice addresses (Care Compare)

Delray Beach, FL 33446
Phone (561) 556-2738

11622 NW 19TH Dr
Coral Springs, FL 33071-5778
Phone (954) 515-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1986FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Talk 4 Health, LLC CurrentSince Mar 1, 2023 Accepting new patients
Psychotherapy Services by Gail Bronstein Decina LLC Clinical CurrentSince Aug 15, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1063455426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WILLOWBROOK LN APT 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461644",
            "telephone_number": "954-540-7415",
            "fax_number": "561-237-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WILLOWBROOK LN APT 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461644",
            "telephone_number": "954-540-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECINA",
        "first_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW, CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.