Gino Bertucci, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4092 Issued in LA

Legal business name

GINO BERTUCCI, LCSW LLC

Practice address

7341 Jefferson Hwy
Ste E
Baton Rouge, LA 70806-8203

Phone

(225) 938-9971

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gino Joseph Bertucci, LCSWNPI 1568638260

Title

Owner

Phone

(225) 938-9971

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gino Joseph Bertucci, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
  • NPI 1568638260
  NPD (past) Authorized official

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1326312323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2731",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707752731",
            "telephone_number": "225-938-9971",
            "fax_number": "225-635-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 JEFFERSON HWY",
            "address_2": "STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068203",
            "telephone_number": "225-938-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINO BERTUCCI, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "BERTUCCI",
        "authorized_official_first_name": "GINO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-938-9971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568638260",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Patrick Gilroy, PHD NCSP BCBA-D LP
• Skylin Lanee Gilton
• Lauren Kellie Giluso
• Nadia Gilyot
• Simone Ginn, RPH, CDE
• Kelly Gioe, MA, CCC-SLP
• Ronald Paul Gioe Jr., DDS
• Paul Joseph Giorlando, M.D.
• Reynelda Lashawn Gipson-Armstrong, LPC
• Karen Gipson

• Clinical Social Worker in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.