MS. GINA MARIE FUNICELLO (NPI# 1720693419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720693419 |
| Entity Type | Individual |
| Full Name | MS. GINA MARIE FUNICELLO |
| Credential | LMSW |
| Practice Address |
274 Main St N Bethlehem CT 06751-1401 |
| Practice Telephone | 2039106926 |
| Mailing Telephone | 2039106926 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3144 | CT | Behavioral Health & Social Service Providers |
| Street Address |
274 MAIN ST N |
| City | BETHLEHEM |
| State | CT |
| Zip Code | 06751-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1780031476 | Margaret Biggart | Counselor | 98 Todd Hill Rd, Bethlehem, CT 06751 | 2016-05-23 |
| 1538590922 | Holly Andrea Leever | Acupuncturist | 381 Guilds Hollow Rd, Bethlehem, CT 06751 | 2013-12-10 |
| 1932105293 | Bethlehem Ambulance Association Inc | Ambulance | Main St South, Bethlehem, CT 06751 | 2005-06-22 |
| 1922351667 | Catherine Nagle | Counselor | 21 Arch Bridge Rd, Bethlehem, CT 06751 | 2012-10-18 |
| 1508195959 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 64 Double Hill Rd, Bethlehem, CT 06751 | 2009-12-14 |
| 1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
| 1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
| 1407417124 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 98 Todd Hill Rd, Bethlehem, CT 06751-1018 | 2019-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| Find all providers in zip 06751 | ||||
| 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 |
|---|---|---|---|---|
| 1841830825 | Shefali Mittal | Social Worker | 3590 Manor Rd, Bethlehem, PA 18020-8605 | 2020-01-08 |
| 1497397186 | Valerie Lees | Social Worker | 1271 Gaspar Ave, Bethlehem, PA 18017-1053 | 2019-10-14 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1366927410 | Gia Koumantzelis | Social Worker | 240 Valley View Lane, Bethlehem, NH 03574 | 2018-09-25 |
| 1346739828 | May B. Ambrogi, Lcsw Pllc | Social Worker | 35 E Elizabeth Ave Ste 29a, Bethlehem, PA 18018-6505 | 2018-05-09 |
| 1114426517 | Mary Martucci | Social Worker | 2045 Westgate Dr Ste 304, Bethlehem, PA 18017-7475 | 2018-02-12 |
| 1396297396 | Nikida Allen | Social Worker | 1414 Pennsylvania Ave, Bethlehem, PA 18018-2017 | 2016-10-26 |
| 1699135467 | Valerie K Peterson | Social Worker | 1 W Broad St Fl 11, Bethlehem, PA 18018-5717 | 2016-03-07 |
| 1134470032 | Stefanie Warner | Social Worker | 90 South Commerce Way, Suite 300, Bethlehem, PA 18017 | 2012-10-02 |
| 1578855086 | Sharon R Gomes | Social Worker | 21 Arch Bridge Rd, Bethlehem, CT 06751-1612 | 2011-05-03 |
| Find all providers in BETHLEHEM | ||||
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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.