Gina Baldacci, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GINA BALDACCI, LCSW, LLC

Practice address

231 Longridge Dr
Bloomingdale, IL 60108

Phone

(847) 450-7770

NPI assigned

Oct 19, 2020

Last updated

Oct 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Baldacci, LCSWNPI 1922549559

Title

Owner Psychotherapist

Phone

(773) 732-2985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gina Baldacci, LCSW

  • Clinical Social Worker
  • Bloomingdale, IL
  • NPI 1922549559
  Medicare reassignment NPD Authorized official
• Stephanie Brenner, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1720333776
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1437758711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 LONGRIDGE DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081417",
            "telephone_number": "773-732-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 LONGRIDGE DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "847-450-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA BALDACCI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "BALDACCI",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-732-2985",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweta V George, PA-C
• Gergana Georgieva, PHARMD
• Darryl Jon Giambalvo, DO
• David Alan Gidcumb, D.C.
• Jay D Gilson, PT
• Gina Gattuso LCSW LLC
• Jessica Giuffre, LCPC
• Glendale Psychological Services
• Gloria Caruso M.D.P.C
• Michael S Goetter, LCPC

• Community/Behavioral Health Agency in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.