Selena Gentile, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05932100 Issued in NJ

Practice address

422 Morris Ave Ste 7
Long Branch, NJ 07740-6574

Phone

(732) 986-9798

NPI assigned

Dec 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Journey of Truth Therapeutic Services, LLC

  • Clinical Social Worker
  • Pennington, NJ
  • NPI 1629657556
  NPD Authorized official

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1164966503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MORRIS AVE STE 7",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406574",
            "telephone_number": "732-986-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MORRIS AVE STE 7",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406574",
            "telephone_number": "732-986-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "SELENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05932100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Garzone, APN
• Lisa Dawn Gastan, CRNP
• George E Gdovin, PHARMD
• Matthew Al Geller, MD
• Mary Casciano Geneve
• George S Constantinopoulos, MD, LLC
• Raghav Gera, MD
• Hafiz Abdul Ghaffar, MD
• Sara Ghotb, M.D.
• Joseph Paul Giacomo

• Clinical Social Worker in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.