Individual provider Active NPI

Regina Bella Gonek, L.C.S.W.

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1225257124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RPO29528-1 Issued in NY
Practice address
25 Canterbury Rd
Suite 305
Rochester, NY 14607-3403
Phone
(585) 733-3531
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RPO29528-1 NY Primary

Addresses

Primary practice location

25 Canterbury Rd
Suite 305
Rochester, NY 14607-3403

Mailing address

25 Canterbury Rd
Suite 305
Rochester, NY 14607-3403
Phone (585) 733-3531

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
I20171227001936 NY Practitioner - Clinical Social Worker 8729346572 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Canterbury Rd
Suite 305
Rochester, NY 14607-3403
Phone (585) 733-3531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPO29528-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225257124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CANTERBURY RD",
            "address_2": "SUITE 305",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073403",
            "telephone_number": "585-733-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CANTERBURY RD",
            "address_2": "SUITE 305",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073403",
            "telephone_number": "585-733-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONEK",
        "first_name": "REGINA",
        "middle_name": "BELLA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RPO29528-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.