Gina Bodnar LCSW P.C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GINA BODNAR LCSW P.C

Practice address

811 W Jericho Tpke Ste 203E
Smithtown, NY 11787-3220

Phone

(631) 487-2633

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Gina Greco, LCSW

Title

Licensed Clinical Social Worker

Phone

(631) 487-2633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Bodnar, LCSW

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1730550542
  NPD

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1609438258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CLIFTWOOD PL",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544010",
            "telephone_number": "631-487-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W JERICHO TPKE STE 203E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873220",
            "telephone_number": "631-487-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA BODNAR LCSW P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-487-2633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Gidseg, M.D.
• Kimberly A. Gilani, ANP-C
• Sydney I Giles, LMSW
• Kanwar Iqbal Singh Gill, MD
• Jaime Gilroy, LCSW
• Stephen Craig Ginsberg, LCSW
• Joseph Jonathan Giuliani, DPT
• Ian Andrew Glaser, DDS
• Glass & Inserra, M.D P.C.
• Jodi Glasser, LCSW

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.