Active NPIIndividual provider

Miss Gina J Derosa, LICSW

Social Worker, Clinical in Winchester, Massachusetts

NPI Number1578822060
Practice location
41 Highland Ave, Winchester, MA 01890-1446
Fax
781-756-7529
Last updated
May 3, 2012

Gina Jo-Ann Derosa is a Social Worker, Clinical based in Winchester, MA. Gina Jo-Ann Derosa practices in Winchester, MA and has the professional credentials of LICSW. The NPI Number for Gina Jo-Ann Derosa is 1578822060 and holds a License No. 155085 (MA). The current practice location address for Gina Jo-Ann Derosa is 41 Highland Ave, Winchester, MA 01890-1446 and can be reached out via phone at 781-756-2000 and via fax at 781-756-7529.

Provider Profile Details

NPI Number
1578822060
Provider Name
Gina Jo-Ann Derosa
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
41 Highland Ave, Winchester, MA 01890-1446
Phone Number
781-756-2000
Fax Number
781-756-7529
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 3, 2012
Last Update Date
May 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Highland Ave
Winchester, MA 01890-1446
Zip
01890-1446
Phone Number
781-756-2000
Fax Number
781-756-7529
Winchester, MA 01890Get directions →

Provider Business Mailing Address Details

Address
41 Highland Ave
Winchester, MA 01890-1446
City
Winchester
State
MA
Zip
01890-1446
Phone Number
781-756-2000
Fax Number
781-756-7529

License Information

License Number
155085
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Gina J Derosa, LICSW?

The NPI number of Miss Gina J Derosa, LICSW is 1578822060. It was assigned on May 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Miss Gina J Derosa, LICSW?

Miss Gina J Derosa, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 155085.

Where does Miss Gina J Derosa, LICSW practice?

The practice location is 41 Highland Ave, Winchester, MA 01890-1446. The office can be reached at 781-756-2000 (phone) or 781-756-7529 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578822060 directly on the NPPES registry website.

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