Gina Marie Iaciofano, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02121 Issued in RI

Practice address

1445 Wampanoag TRL
Suite 106
Riverside, RI 02915-1000

Phone

(401) 437-8844

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1457643348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 WOODWARD RD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043139",
            "telephone_number": "401-497-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WAMPANOAG TRL",
            "address_2": "SUITE 106",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151000",
            "telephone_number": "401-437-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACIOFANO",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Lee Hu, MD
• Allyson Hughes, MD
• Lauren J. Hummel, PHD, CCC SLP
• Heather Lyn Hunter, PH.D.
• Marianne V Hurley, NP
• Noor Ibrahim, LICSW
• Infusion Resource, LLC
• Infusion Resource, LLC
• Infusion Services of Northern Massachusetts Inc
• Innovative Therapeutics of Rhode Island LLC

• Clinical Social Worker in Riverside, RI
• Providers in Riverside, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.