Active NPI
Gia Syracuse
- Clinical Social Worker
- East Hampton, CT
National Provider Identifier
1750195442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10170
- Practice address
- 25 Collie Brook Rd
East Hampton, CT 06424-1642 - Phone
- (860) 227-7600
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 7108 | CT | |
| Clinical Social Worker | 1041C0700X | 10170 | CT | Primary |
Addresses
Primary practice location
25 Collie Brook Rd
East Hampton, CT 06424-1642
Mailing address
25 Collie Brook Rd
East Hampton, CT 06424-1642
Phone (860) 227-7600
Other practice location 1
43 Woodland St
Hartford, CT 06105-2363
Phone (860) 227-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10170 | CT | MD | Dentist |
Interoperability endpoints
- gia.syracuse.p1@direct.wheelerclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1750195442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 COLLIE BROOK RD",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064241642",
"telephone_number": "860-227-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COLLIE BROOK RD",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064241642",
"telephone_number": "860-227-7600"
}
],
"practiceLocations": [
{
"address_1": "43 Woodland St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061052363",
"country_code": "US",
"telephone_number": "860-227-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYRACUSE",
"first_name": "GIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CT",
"license": "7108",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "10170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hampton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.