Gina Marie Bizzoco-Fraatz, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082381 Issued in NY

Practice address

2600 South Rd Ste 44-273
Poughkeepsie, NY 12601-7003

Phone

(518) 444-0181

NPI assigned

Oct 17, 2012

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gina Marie Bizzoco Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nurture Your Truth LCSW PLLC

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1083327035
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1346593217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SOUTH RD STE 44-273",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126017003",
            "telephone_number": "518-444-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SOUTH RD STE 44-273",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126017003",
            "telephone_number": "518-444-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZZOCO-FRAATZ",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084342",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BIZZOCO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elyse Bischof, PA
• Sarah Bishara
• S Susan Bittel, LCSW, CASAC
• Margo Biuso, LMSW
• Yvette Maria Bivians, M.A.CCC-SLP
• Felicia Black, PA
• Brendan Blagbrough, DO
• Bruce Blair, MA, CCC-SLP
• Megan Blair, PA-C
• Corrine Blasi, LCSW

• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.