Individual provider Active NPI

Gina Robinson

  • Social Worker
  • Monroe, CT
National Provider Identifier
1336562735
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
079793-1 Issued in NY
Practice address
755 Main St
Monroe, CT 06468-2830
Phone
(914) 612-3952
NPI assigned
Jan 22, 2014
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 079793-1 NY Primary

Addresses

Primary practice location

755 Main St
Monroe, CT 06468-2830

Mailing address

151 Andrew Ave Apt 21
Naugatuck, CT 06770-4325
Phone (914) 612-3952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20181025000875 CT Practitioner - Clinical Social Worker 5092068833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

151 Andrew Ave
Apt 21
Naugatuck, CT 06770-4325
Phone (914) 612-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079793-1NYMDSocial Worker
009634CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A Brand New Day ABA Services LLC CurrentSince Sep 16, 2018 Accepting new patients
Pivotal Thinking CurrentSince Nov 1, 2023 Accepting new patients

Locations

755 Main St
Monroe, CT 06468
Phone (203) 261-0064

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1336562735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 ANDREW AVE APT 21",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704325",
            "telephone_number": "914-612-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MAIN ST",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682830",
            "telephone_number": "914-612-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079793-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

Verify at the official NPI Registry.