Gina V Eaton, LCSW, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

SW 3884 Issued in FL

Legal business name

GINA V EATON, LCSW, PA

Practice address

12555 Orange Dr
Suite 215
Davie, FL 33330-4304

Phone

(954) 862-1736

Fax

(954) 862-1738

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Gina V Eaton, LCSW

Title

Owner/President

Phone

(954) 862-1736

Specialties & licenses 1

Addresses

Tax ID family

Gina V Eaton LCSW PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gina V Eaton LCSW PA

  • Clinical Social Worker
  • Davie, FL
  • NPI 1689845927
  NPD tax ID

Locations

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1184029845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR",
            "address_2": "SUITE 215",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "954-862-1736",
            "fax_number": "954-862-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 ORANGE DR",
            "address_2": "SUITE 215",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304304",
            "telephone_number": "954-862-1736",
            "fax_number": "954-862-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA V EATON, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-862-1736",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW 3884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillette Neuropsychology, LLC
• Jennifer M. Gillette
• Breanne N Gillis
• Tiffany L Gillis, A.P.
• Gina V Eaton LCSW PA
• Antonio Ginebra Aguilar
• Ilya Ginzburg, O.D.
• James Giordano
• Amber Giorgianni
• Nadine M Girgis - Hanna, O.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Davie, FL
• Providers in Davie, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.