Active NPI
Gina Amante
- Clinical Social Worker
- Wallingford, CT
National Provider Identifier
1487323747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 011710
- Practice address
- 45 Fair St FL 1
Wallingford, CT 06492-4208 - Phone
- (203) 414-1059
- NPI assigned
- Sep 9, 2021
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 011710 | CT | Primary |
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
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
| 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
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.
-
- Clinical Social Worker
- Wallingford, CT
- NPI 1831885359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1487323747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 FAIR ST FL 1",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924208",
"telephone_number": "203-951-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 FAIR ST FL 1",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924208",
"telephone_number": "203-414-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANTE",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "011710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.