Gerard Ralph Ilaria, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

038520 Issued in NY

Practice address

641 Lexington Ave FL 25
New York, NY 10022-4503

Phone

(212) 746-5917

NPI assigned

Dec 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• The Headstrong Project, Inc.

  • Clinical Social Worker
  • New York, NY
  • NPI 1245857481
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1689260556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE FL 25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "212-746-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 LEXINGTON AVE FL 25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224503",
            "telephone_number": "212-746-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILARIA",
        "first_name": "GERARD",
        "middle_name": "RALPH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "038520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilant Medical Group, P.a
• Oliver Sangcap Ilao, AGPCNP-BC, CCRN-CSC
• Aileen Joy Ilar
• Marissa Ilardi
• Melissa Beth Ilardi, PHD
• Robert L Ilaria Jr., M.D.
• Taylor Ilasi, PA-C
• George Oseghale Ilenikhena, DDS
• Zena Iles, M.S. CCC-SLP
• Adeolu Olawumi Ilesanmi, MD

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Dec 15, 2020; 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.