Gabrielle Fasano, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091924 Issued in NY

Practice address

46 Route 25a Ste 3
Setauket, NY 11733-2806

Phone

(631) 517-3345

NPI assigned

Jan 18, 2018

Last updated

Jun 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gabrielle Fasano, LCSW, PLLC

  • Clinical Social Worker
  • Setauket, NY
  • NPI 1922792951
  NPD Authorized official

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1093223455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WYCKOFF AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761420",
            "telephone_number": "631-488-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 ROUTE 25A STE 3",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332806",
            "telephone_number": "631-517-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANO",
        "first_name": "GABRIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "9909281",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Emery, MD
• Suzanne J Ennis, LCSW
• Christina Erhardt
• Family Chiropractic
• Erika Lee Farias, LMSW
• Nan Sherryl Feldman, RN
• Mary Fernandes
• Judith Ferrara
• Patricia M. Ferrara, LPN
• Filomena Buncke, NP Psychiatry PC

• Clinical Social Worker in Setauket, NY
• Providers in Setauket, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.