Individual provider Active NPI

Gina Tripodo, LCSW-R

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1306386503
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-087366 Issued in NY
Practice address
40 Memorial Hwy Apt 10I
New Rochelle, NY 10801-8322
Phone
(516) 670-5505
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 087366 NY
School Social Worker 1041S0200X 087366 NY
Clinical Social Worker 1041C0700X R-087366 NY Primary

Addresses

Primary practice location

40 Memorial Hwy Apt 10I
New Rochelle, NY 10801-8322

Mailing address

40 Memorial Hwy Apt 10I
New Rochelle, NY 10801-8322
Phone (516) 670-5505

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
087366NYMDClinical Social Worker
R-087366NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1306386503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MEMORIAL HWY APT 10I",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108018322",
            "telephone_number": "516-670-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEMORIAL HWY APT 10I",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108018322",
            "telephone_number": "516-670-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPODO",
        "first_name": "GINA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087366",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "087366",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-087366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.