Individual provider Active NPI

Gabriella Nora Fimiani, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1134736812
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08263 Issued in MD
Practice address
3200 Eastern Ave
Baltimore, MD 21224-4010
Phone
(410) 522-1181
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 08263 MD Primary

Addresses

Primary practice location

3200 Eastern Ave
Baltimore, MD 21224-4010

Mailing address

2512 Chestnut Woods CT
Reisterstown, MD 21136-5523
Phone (410) 591-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201102001866 MD Practitioner - Clinical Social Worker 5597175554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08263MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Counseling Center, LLC CurrentSince Oct 20, 2020 Accepting new patients

Locations

3200 Eastern Ave
Baltimore, MD 21224
Phone (410) 327-1181

7902 Belair Rd
Nottingham, MD 21236
Phone (410) 300-8940

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1134736812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 CHESTNUT WOODS CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365523",
            "telephone_number": "410-591-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244010",
            "telephone_number": "410-522-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIMIANI",
        "first_name": "GABRIELLA",
        "middle_name": "NORA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.