Gina Baldacci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012354 Issued in IL

Practice address

231 Longridge Dr
Bloomingdale, IL 60108-1417

Phone

(773) 732-2985

NPI assigned

Mar 15, 2017

Last updated

Dec 3, 2020By 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

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 Baldacci, LCSW, LLC

  • Community/Behavioral Health Agency
  • Bloomingdale, IL
  • NPI 1437758711
  Medicare reassignment NPD Authorized official
• Chronic Illness Psychotherapy LLC

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1023507019
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1922549559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 LONGRIDGE DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081417",
            "telephone_number": "773-732-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 LONGRIDGE DR",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081417",
            "telephone_number": "773-732-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 S Michigan Ave",
            "address_2": "Ste 805",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033357",
            "country_code": "US",
            "telephone_number": "773-654-2420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Sherman Ave Ste 252",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602014421",
            "country_code": "US",
            "telephone_number": "847-450-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDACCI",
        "first_name": "GINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kimberly Austin, D.P.T.
• Ada Avary
• Ericka Axness, MSW, LCSW
• Zainab Aziz, DDS
• Carolyn Ann Bailey, PSY.D.
• Michael W Baloun, R.PH.
• Courtney M Ban, PT, DPT
• Dana Barakat
• Nidhi Barot, OD
• Magdalena Maria Barszczuk

• Clinical Social Worker in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.