Active NPI
Gila Fogelman-Unger, CSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1114051307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR016502-1
- Practice address
- 140 8TH Ave
4F
Brooklyn, NY 11215-1767 - Phone
- (718) 622-2906
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR016502-1 | NY | Primary |
Addresses
Primary practice location
140 8TH Ave
4F
Brooklyn, NY 11215-1767
Mailing address
12 Van Over Dr
Old Bridge, NJ 08857-3757
Phone (732) 679-5132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 5, 2025 through Sep 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR016502-1 | NY | MD | Clinical Social Worker |
| 016502 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114051307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 VAN OVER DR",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088573757",
"telephone_number": "732-679-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 8TH AVE",
"address_2": "4F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151767",
"telephone_number": "718-622-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGELMAN-UNGER",
"first_name": "GILA",
"name_prefix": "Mrs.",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR016502-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.