Individual provider Active NPI

Gina K Fimbel, LCSWA, CMSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1225824303
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P021916 Issued in NC
Practice address
4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423
Phone
(910) 508-2808
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 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 P021916 NC Primary

Addresses

Primary practice location

4620 Cedar Ave Ste 117
Wilmington, NC 28403-4423

Mailing address

322 S College Rd # 1018
Wilmington, NC 28403-1632
Phone (910) 508-2808

Other practice location 1

322 S College Rd # 1018
Wilmington, NC 28403-1632
Phone (910) 508-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P021916NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1225824303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S COLLEGE RD # 1018",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031632",
            "telephone_number": "910-508-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 CEDAR AVE STE 117",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034423",
            "telephone_number": "910-508-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 S College Rd # 1018",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284031632",
            "country_code": "US",
            "telephone_number": "910-508-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIMBEL",
        "first_name": "GINA",
        "middle_name": "K",
        "credential": "LCSWA, CMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.