Ms. Gina M Funicello, LMSW
Social Worker, Clinical in Bethlehem, Connecticut
1720693419- Practice location
- 274 Main St N, Bethlehem, CT 06751-1401
- Phone
- 203-910-6926
- Fax
- —
- Last updated
- September 10, 2020
Gina Marie Funicello is a Social Worker, Clinical based in Bethlehem, CT. Gina Marie Funicello practices in Bethlehem, CT and has the professional credentials of LMSW. The NPI Number for Gina Marie Funicello is 1720693419 and holds a License No. 3144 (CT). The current practice location address for Gina Marie Funicello is 274 Main St N, Bethlehem, CT 06751-1401 and can be reached out via phone at 203-910-6926.
Provider Profile Details
- NPI Number
- 1720693419
- Provider Name
- Gina Marie Funicello
- Credential
- LMSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 274 Main St N, Bethlehem, CT 06751-1401
- Phone Number
- 203-910-6926
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 10, 2020
- Last Update Date
- September 10, 2020
- Certification Date
- September 10, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 274 Main St N
Bethlehem, CT 06751-1401 - City
- Bethlehem
- State
- Connecticut
- Zip
- 06751-1401
- Phone Number
- 203-910-6926
Provider Business Mailing Address Details
- Address
- 274 Main St N
Bethlehem, CT 06751-1401 - City
- Bethlehem
- State
- CT
- Zip
- 06751-1401
- Phone Number
- 203-910-6926
License Information
- License Number
- 3144
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Gina M Funicello, LMSW?
The NPI number of Ms. Gina M Funicello, LMSW is 1720693419. It was assigned on September 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Ms. Gina M Funicello, LMSW?
Ms. Gina M Funicello, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 3144.
Where does Ms. Gina M Funicello, LMSW practice?
The practice location is 274 Main St N, Bethlehem, CT 06751-1401. The office can be reached at 203-910-6926 (phone).
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 1720693419 directly on the NPPES registry website.