Individual provider Active NPI

Gina Marie Fiorella, LCSW, LMSW, LSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1407361181
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091604 Issued in NY
Practice address
159 20TH St
Brooklyn, NY 11232-1253
Phone
(646) 685-4499
NPI assigned
Dec 4, 2017
Reactivated
May 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097757 NY
Social Worker 104100000X 44SL06192600 NJ
Clinical Social Worker 1041C0700X 091604 NY Primary

Addresses

Primary practice location

159 20TH St
Brooklyn, NY 11232-1253

Mailing address

159 20TH St
Brooklyn, NY 11232-1253
Phone (646) 685-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06192600NJMDSocial Worker
091604NYMDClinical Social Worker
097757NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1407361181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 20TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321253",
            "telephone_number": "646-685-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 20TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321253",
            "telephone_number": "646-685-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORELLA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LMSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "deactivation_date": "2018-02-21",
        "reactivation_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097757",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06192600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.