Individual provider Active NPI

Gina Gaudio, LCSW

  • Clinical Social Worker
  • Hudson Falls, NY
National Provider Identifier
1114347150
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090543 Issued in NY
Practice address
80 East Labarge Street
Hudson Falls, NY 12839
Phone
(518) 747-2121
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 090543 NY
Clinical Social Worker 1041C0700X 090191 NY
Clinical Social Worker 1041C0700X 090543 NY Primary

Addresses

Primary practice location

80 East Labarge Street
Hudson Falls, NY 12839

Mailing address

80 East Labarge Street
Hudson Falls, NY 12839
Phone (518) 747-2121

Other practice location 1

1 Lawrence St
Glens Falls, NY 12801-3617
Phone (518) 926-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
090543NYMDSchool Counselor
090191NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1114347150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EAST LABARGE STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "12839",
            "telephone_number": "518-747-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EAST LABARGE STREET",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "12839",
            "telephone_number": "518-747-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Lawrence St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128013617",
            "country_code": "US",
            "telephone_number": "518-926-7006",
            "fax_number": "518-926-7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "GINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "090543",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090191",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.