Gina Marie Cannistra, LCSW
Individual provider Active NPI Clinical Social Worker · Frankfort, NY
NPI 1659746485 · NPPES record last updated Dec 4, 2015
Key facts
- NPI
- 1659746485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0736571 (NY)
- Practice address
- 228 Eldred Ave
Frankfort, NY 13340-5119 - Phone
- (315) 527-5332
- NPI assigned
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0736571 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0736571 | NY | Yes |
Addresses
Primary practice location
228 Eldred Ave
Frankfort, NY 13340-5119
Mailing address
228 Eldred Ave
Frankfort, NY 13340-5119
Phone (315) 527-5332
Other providers in Frankfort, NY
- Brenda F.C. Abrams
- Lora Grace Allen
- Beverly Bartlett
- Teresa Lynn Bouchard
- Concetta Maria Carcone
- Dominique Carcone
- Briana Maria Cardoza
- Maryann Case
- Linsey Connarton
All providers in Frankfort, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.