Gina Bodnar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088265-1 Issued in NY

Practice address

811 W Jericho Tpke Ste 203E
Smithtown, NY 11787-3220

Phone

(631) 487-2633

NPI assigned

Oct 20, 2015

Last updated

Jan 1, 2024By the provider in NPPES

Sex

Female

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.

• Gina Bodnar LCSW P.C

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1609438258
  NPD

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1730550542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W JERICHO TPKE STE 203E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873220",
            "telephone_number": "631-487-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W JERICHO TPKE STE 203E",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873220",
            "telephone_number": "631-487-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 E Main St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723121",
            "country_code": "US",
            "telephone_number": "631-363-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "GINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088265-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard B Blumstein, M.D.
• Diane E Boaro, APRN, MS, PMHNP-BC
• Richard Boccio, MD DPM
• Wayne Joseph Bodamer, D.P.M.
• Jenna E Bodie
• Anthony Bonanno, M.D.
• Anaty Bonasera
• Danielle Esther Bonasera, LMSW
• Richard E Bonati, DDS
• Rachel Bondietti, M.S., CCC-SLP TSSLD

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, 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 Jan 1, 2024; 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.