Gina M. Mills, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8387 Issued in CT

Legal business name

GINA M. MILLS, LCSW, LLC

Practice address

329 Ledge Rd
Dayville, CT 06241-1923

Phone

(860) 516-5672

Fax

(888) 233-4694

NPI assigned

Jan 10, 2014

Last updated

Jan 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Michelle Mills, LCSWNPI 1972822997

Title

Therapist/Owner

Phone

(860) 516-5672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Gina Michelle Mills, MSW, LCSW

  • Clinical Social Worker
  • Dayville, CT
  • NPI 1972822997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1619399672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062410080",
            "telephone_number": "860-516-5672",
            "fax_number": "888-233-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 LEDGE RD",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411923",
            "telephone_number": "860-516-5672",
            "fax_number": "888-233-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Front St # B",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601643",
            "country_code": "US",
            "telephone_number": "860-315-9025 x2",
            "fax_number": "866-212-7223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GINA M. MILLS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "860-516-5672",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristina Karin Glaude, MA
• Karen McIntyre Graf, LCSW
• Nancy Lynn Grandelski, LCSW
• Green Valley Optical, LLC
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• Clinical Social Worker in Dayville, CT
• Providers in Dayville, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.