Individual provider Active NPI

Gina M Montanarella, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1306134002
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069483 Issued in NY
Practice address
87 N Clinton Ave
3Rd Floor
Rochester, NY 14604-1455
Phone
(585) 546-7220
Fax
(585) 325-3867
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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 069483 NY Primary

Addresses

Primary practice location

87 N Clinton Ave
3Rd Floor
Rochester, NY 14604-1455

Mailing address

44 Hilltop Dr
Penfield, NY 14526-2543
Phone (585) 546-7220

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
069483NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1306134002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HILLTOP DR",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262543",
            "telephone_number": "585-546-7220",
            "fax_number": "585-325-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N CLINTON AVE",
            "address_2": "3RD FLOOR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146041455",
            "telephone_number": "585-546-7220",
            "fax_number": "585-325-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANARELLA",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.