Gabrielle Siraco Licsw LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GABRIELLE SIRACO LICSW LLC

Practice address

165 Main St Unit 301
Medway, MA 02053-1584

Phone

(781) 812-3183

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Gabrielle Siraco, LICSWNPI 1306198510

Title

Owner

Phone

(781) 812-3183

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabrielle Siraco, MSW, LICSW

  • Clinical Social Worker
  • Milford, MA
  • NPI 1306198510

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1902482011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 301",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531584",
            "telephone_number": "781-812-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST UNIT 301",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531584",
            "telephone_number": "781-812-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE SIRACO LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "SIRACO",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-812-3183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C. Fitzgerald, M.D.
• Elizabeth Flowers, FNP
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• Barbara A Ford Geiger, MSW, LICSW
• Jill Forte, MSN, RN, PMHNP-BC
• Gail M. Carey Counseling Services, LLC
• Carolyn Joanne Gallagher, LCSW
• Elizabeth A. Gebhard, D.O
• Edwin L. Geiger, ED.D.
• Pamela Giles

• All providers in Medway, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.