Gina Simon Lisw, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-3207 Issued in NM

Legal business name

GINA SIMON LISW, PC

Practice address

2729 Mesilla St NE
Albuquerque, NM 87110-3539

Phone

(505) 249-8764

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Gina Simon, LISW

Title

President

Phone

(505) 249-8764

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1689860462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 MESILLA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103539",
            "telephone_number": "505-249-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 MESILLA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103539",
            "telephone_number": "505-249-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA SIMON LISW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-249-8764",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-3207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talia R Gilmour, DPT
• Micaela Gilpin, DPT
• James Gilson, LPCC
• Tabitha Gimenez
• Gina Simon Lisw PC
• Beth Gineris, MA DOM
• Joshua Gingerich, MSW, LCSW
• Rebecca Ginn, SLP
• Ginny Green LCSW LLC
• Fred Ginsburg, MD

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.