Gina Flores, LICSW
Individual provider Active NPI Clinical Social Worker · Foxborough, MA
NPI 1134556236 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1134556236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 127940 (MA)
- Practice address
- 100 Foxborough Blvd FL 2
Foxborough, MA 02035-2882 - Phone
- (908) 358-2733
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Making Waves Mental Health LLC
Practice addresses (Care Compare)
100 Foxborough Blvd
Suite 230
Foxborough, MA 02035-2878
Phone (508) 466-5883
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250116001864 | MA | Practitioner - Clinical Social Worker | 8426289141 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127940 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Making Waves Mental Health LLC | Clinical | Current |
Accepting new patients |
Locations
100 Foxborough Blvd
Ste 230
Foxborough, MA 02035
Phone (508) 426-5883
100 Foxborough Blvd
Fl 2
Foxborough, MA 02035
Phone (401) 426-0248
975 Smith St
Providence, RI 02908
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW02229 | RI | |
| Clinical Social Worker | 1041C0700X | 127940 | MA | Yes |
Addresses
Primary practice location
100 Foxborough Blvd FL 2
Foxborough, MA 02035-2882
Mailing address
100 Foxborough Blvd FL 2
Foxborough, MA 02035-2882
Phone (908) 358-2733
Other names
- Gina Difabio
Other providers in Foxborough, MA
- David W Faling
- Lauren Margaret Farnlof
- Elizabeth Fei
- Sandra Morgan Fitzgerald
- Steven A Fletcher
- Foxboro Dnetal Group LLC
- Maury Frieman
- Matthew Fuller
- Function Well Nutrition
- Casey Louise Gallagher
All providers in Foxborough, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.