Gina Amante
Individual provider Active NPI Clinical Social Worker · Wallingford, CT
NPI 1487323747 · NPPES record last updated Aug 6, 2026
Key facts
- NPI
- 1487323747
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 011710 (CT)
- Practice address
- 45 Fair St FL 1
Wallingford, CT 06492-4208 - Phone
- (203) 414-1059
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011710 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Empowerment LLC | Clinical | Current | Accepting new patients |
Locations
4 Research Dr
Ste 402
Shelton, CT 06484
Phone (203) 293-9300
45 Fair St
#1
Wallingford, CT 06492
Phone (203) 293-3457
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 011710 | CT | Yes |
Addresses
Primary practice location
45 Fair St FL 1
Wallingford, CT 06492-4208
Mailing address
45 Fair St FL 1
Wallingford, CT 06492-4208
Phone (203) 951-1393
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011710 | Other | CT | LICENSE CLINICAL SOCIAL WORKER |
Other providers in Wallingford, CT
- All-Med Healthcare Inc
- Alleviate Pain and Wellness
- Luis Alonso
- Alpha Dental Group, P.C.
- Alyssa Axelrod LCSW LLC
- Kristen Maria Amarone
- Melinda Amato
- Ambitions Counseling Services, LLC
- American Current Care P.a.
- Patricia Mercurio Amodei
All providers in Wallingford, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.