Talia Bina Gimeno, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17538 Issued in MD

Practice address

6307 Briarcliff Way
Frederick, MD 21701-7640

Phone

(310) 299-1443

Fax

(301) 315-0219

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Talia B Ben-Ami Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Life 4 Me Today Life Coaching LLC

  • Clinical Social Worker
  • Damascus, MD
  • NPI 1790495380
  NPD Authorized official
• Opening New Doors Foundation Inc.

  • Counseling Psychologist
  • Damascus, MD
  • NPI 1881122711
  NPD (past) Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1497951461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 BRIARCLIFF WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017640",
            "telephone_number": "310-299-1443",
            "fax_number": "301-315-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 BRIARCLIFF WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017640",
            "telephone_number": "310-299-1443",
            "fax_number": "301-315-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMENO",
        "first_name": "TALIA",
        "middle_name": "BINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007597",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALIA",
            "last_name": "BEN-AMI",
            "middle_name": "B",
            "prefix": "MRS.",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Francis Gilligan, O.D.
• Theresa Marie Gillis, PA-C
• Diane Gilman, PSY.D
• Jeffrey T Gilsdorf, M.D.
• Allen J Gilson, M.D.
• Gina M. Rassa, LCPC, Inc.
• M Jean Giove, PT
• Catherine Wambui Githaiga, CRNP
• Mark Glass-Royal, M.D.
• Stephanie Glay

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.