NPIMap

Organization Active NPI

Gina Abbondante, LLC

  • Clinical Social Worker
  • Marlton, NJ
National Provider Identifier
1578922084
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05618100 Issued in NJ
Legal business name
GINA ABBONDANTE, LLC
Practice address
105 Evesboro Medford Rd
Suite M
Marlton, NJ 08053-3865
Phone
(609) 217-3868
Fax
(609) 859-5408
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mrs. Gina Abbondante, MSW, LCSWNPI 1194026237
Title
Licensed Clinical Social Worker
Phone
(609) 217-3868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05618100 NJ Primary

Addresses

Primary practice location

105 Evesboro Medford Rd
Suite M
Marlton, NJ 08053-3865

Mailing address

105 Evesboro Medford Rd
Suite M
Marlton, NJ 08053-3865
Phone (609) 217-3868

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1578922084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "address_2": "SUITE M",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-217-3868",
            "fax_number": "609-859-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "address_2": "SUITE M",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-217-3868",
            "fax_number": "609-859-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA ABBONDANTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "ABBONDANTE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "609-217-3868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05618100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.