Gina Carrillo, LMSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

072560 Issued in NY

Practice address

10 Cherry Ave
Bethpage, NY 11714-1501

Phone

(516) 644-4020

NPI assigned

Dec 20, 2011

Last updated

Dec 20, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bethpage Union Free School District

  • Local Education Agency (LEA)
  • Bethpage, NY
  • NPI 1528110418
  NPD (past)

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1104195106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHERRY AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141501",
            "telephone_number": "516-644-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHERRY AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141501",
            "telephone_number": "516-644-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "GINA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "072560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Camp, DPT
• Elayne Candiotte
• Francesco J Caputo, D.C.
• Lizabeth Carino, LMHC
• Anthony Michael Carlisi, M.D.
• Giuseppe Caruso, MD
• Marisa Anne Casella, LCSW
• Roseann Lena Catalano, PHARMD
• John A Cavagnaro, PA-C
• Jeanine A Ceccoli

• School Social Worker in Bethpage, NY
• Providers in Bethpage, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.