Individual provider Active NPI

Gina M Decarli, LCSW

  • Clinical Social Worker
  • New London, CT
National Provider Identifier
1720326325
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007657 Issued in CT
Practice address
Recovery Twelve Solutions
155 Montauk Avenue
New London, CT 06320
Phone
(860) 389-4324
Fax
(860) 574-9676
NPI assigned
Jan 17, 2013
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007657 CT Primary

Addresses

Primary practice location

Recovery Twelve Solutions
155 Montauk Avenue
New London, CT 06320

Mailing address

155 Montauk Avenue
New London, CT 06320
Phone (860) 389-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000410 CT Practitioner - Clinical Social Worker 5597279836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007657CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Twelve Solutions, Inc. CurrentSince Apr 5, 2025 Accepting new patients
Southeastern Pulmonary Assoc. PC PastSince Apr 5, 2025 Accepting new patients

Locations

155 Montauk Ave
New London, CT 06320
Phone (860) 444-2223

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1720326325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MONTAUK AVENUE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-389-4324",
            "fax_number": "860-574-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RECOVERY TWELVE SOLUTIONS",
            "address_2": "155 MONTAUK AVENUE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-389-4324",
            "fax_number": "860-574-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLI",
        "first_name": "GINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.