Ms Gina Marie Funicello, LMSW is a
Social Worker - Clinical based in Bethlehem, Connecticut. Ms Gina Marie Funicello is licensed to practice in Connecticut (license number 3144) and her current practice location is
274 Main St N, Bethlehem, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 910-6926.
NPI number for Ms Gina Marie Funicello is 1720693419 and her current mailing address is 274 Main St N, Bethlehem, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720693419.
Healthcare Provider's Profile
Full Name | Ms Gina Marie Funicello |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 274 Main St N, Bethlehem, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720693419
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 09/10/2020
Medical Identifiers
Medical identifiers for Ms Gina Marie Funicello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720693419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 3144 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gina Marie Funicello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Gina Marie Funicello, LMSW 274 Main St N, Bethlehem, CT 06751-1401 Ph: (203) 910-6926 | Ms Gina Marie Funicello, LMSW 274 Main St N, Bethlehem, CT 06751-1401 Ph: (203) 910-6926 |
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