GINA PROVISIERO (NPI# 1093262727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093262727 |
| Entity Type | Individual |
| Full Name | GINA PROVISIERO |
| Credential | LCSW |
| Practice Address |
777 Blakeslee Blvd Dr E Suite 3 Lehighton PA 18235 |
| Mailing Address |
32 W Walter St Fl 1 Summit Hill PA 18250-1412 |
| Practice Telephone | 6315121264 |
| Mailing Telephone | 6315121264 |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | SW133460 | PA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 430 W White St Apt 2, Summit Hill, PA 182501028 | 6315121264 |
| Street Address |
777 BLAKESLEE BLVD DR E SUITE 3 |
| City | LEHIGHTON |
| State | PA |
| Zip Code | 18235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
| 1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
| 1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
| 1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
| 1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
| 1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
| 1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
| 1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
| 1639313224 | Lehigh Valley Physician Group | Internal Medicine | 281 North 12th Street, Suite B, Gnaden Huetten Professional Building, Lehighton, PA 18235 | 2009-04-27 |
| Find all providers in zip 18235 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960572 | Nancy Jane Blaha | Social Worker | 1393 Municipal Rd, Lehighton, PA 18235-4321 | 2005-08-25 |
| 1417593906 | Catherine Miller | Social Worker | 428 S 7th St, Lehighton, PA 18235-1818 | 2019-11-20 |
| 1851702799 | David Marouchoc | Social Worker | 701 Bridge St, Ste 206, Lehighton, PA 18235-1800 | 2014-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619798 | Kealsey Brennan Beecham | Social Worker | 9071 Mill Creek Rd Apt 2411, Levittown, PA 19054-4233 | 2020-11-07 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1992305478 | Christina Lynn Watson | Social Worker | 939 Bayridge Ave, Pittsburgh, PA 15226-2133 | 2020-10-26 |
| 1992304455 | Sarah B Matas | Social Worker | 434 Kennett Pike, Chadds Ford, PA 19317-9383 | 2020-10-25 |
| 1023617743 | Cody Forsythe | Social Worker | 147 N 5th St Ste 2, Reading, PA 19601-3494 | 2020-10-23 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1790384147 | Julie Adelle Figueroa | Social Worker | 301 Washington St Apt 1313, Conshohocken, PA 19428-4010 | 2020-10-17 |
| 1265030712 | Samantha Barley | Social Worker | 16055 Perry Hwy Bldg 3, Wexford, PA 15090-6885 | 2020-10-15 |
| 1346848165 | Lianne Glaus Vighetti | Social Worker | 624 Deer Watch Rd, Bridgeville, PA 15017-1148 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.