Individual provider Active NPI

Giovanna L Rovetto-Dean, LCSW-R

  • Clinical Social Worker
  • Queensbury, NY
National Provider Identifier
1164582995
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048485 Issued in NY
Practice address
527 Bay Rd Ste 105
Queensbury, NY 12804-1430
Phone
(518) 223-0552
Fax
(518) 223-0513
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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 R048485 NY Primary

Addresses

Primary practice location

527 Bay Rd Ste 105
Queensbury, NY 12804-1430

Mailing address

527 Bay Rd Ste 105
Queensbury, NY 12804-1430
Phone (518) 223-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070611000208 NY Practitioner - Clinical Social Worker 3678671948 Reassigns benefits to 1 organization
Practice locations: Queensbury, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048485NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibrium Psychotherapy Services LCSW PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

527 Bay Rd
Ste 105
Queensbury, NY 12804
Phone (518) 223-0552

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1164582995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 105",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-223-0552",
            "fax_number": "518-223-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 105",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-223-0552",
            "fax_number": "518-223-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVETTO-DEAN",
        "first_name": "GIOVANNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.