Organization Active NPI

Gina Breggia-Pine, Licsw

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1164613154
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GINA BREGGIA-PINE, LICSW
Practice address
1 Richmond SQ Ste 130C
Providence, RI 02906-5155
Phone
(401) 944-2270
Fax
(401) 944-0026
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Ms. Gina M Pine, LICSWNPI 1649371741
Title
Clinical Social Worker
Phone
(401) 944-2270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 Richmond SQ Ste 130C
Providence, RI 02906-5155

Mailing address

PO Box 165
Barrington, RI 02806-0165
Phone (401) 944-2270

Other identifiers 4

IdentifierTypeStateIssuer
2278859OtherRICIGNA
62-93351OtherRIUNITED HEALTH
31180-9OtherRIBLUE CROSS
413316OtherRIBLUE CHIP

Other names 1

  • Gina Breggia-PIne, LICSW Doing business as

National Provider Directory

National Provider Directory

Locations

989 Reservoir Ave
Ste 9
Cranston, RI 02910

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1164613154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028060165",
            "telephone_number": "401-944-2270",
            "fax_number": "401-944-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 130C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065155",
            "telephone_number": "401-944-2270",
            "fax_number": "401-944-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA BREGGIA-PINE, LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "401-944-2270",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2278859",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "62-93351",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "31180-9",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "413316",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gina Breggia-PIne, LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.