Individual provider Active NPI

Gina M. Hamilton, MSW, LCSW

  • Clinical Social Worker
  • Supply, NC
National Provider Identifier
1467294199
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C017179 Issued in NC
Practice address
10 Doctors Cir Ste 6
Supply, NC 28462-4218
Phone
(910) 755-5222
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C017179 NC Primary

Addresses

Primary practice location

10 Doctors Cir Ste 6
Supply, NC 28462-4218

Mailing address

305 Commerce Ave Ste 102
Morehead City, NC 28557-2971
Phone (252) 773-0195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C017179NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Southeastern United Care LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

305 Commerce Ave
Ste 102
Morehead City, NC 28557
Phone (252) 773-0050

10 Doctors Cir
Ste 6
Supply, NC 28462
Phone (910) 754-4600

Organizations & group practices 1

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1467294199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COMMERCE AVE STE 102",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572971",
            "telephone_number": "252-773-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOCTORS CIR STE 6",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624218",
            "telephone_number": "910-755-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "GINA",
        "middle_name": "M.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.