| Nanette Nicotra Gingo, LCSW | |
|
15 Brand St, Kings Park, NY 11754-1750 | |
| (631) 269-5909 | |
| Not Available |
| Full Name | Nanette Nicotra Gingo |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 15 Brand St, Kings Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134176258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 071178-1 (New York) | Primary |
| Entity Name | Adults And Children With Learning And Developmental Disabilities, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730194408 PECOS PAC ID: 8921997172 Enrollment ID: O20040315000377 |
| Entity Name | Charles Evans Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Nanette Nicotra Gingo, LCSW 15 Brand St, Kings Park, NY 11754-1750 Ph: (631) 269-5909 | Nanette Nicotra Gingo, LCSW 15 Brand St, Kings Park, NY 11754-1750 Ph: (631) 269-5909 |
Kathleen Mackenna, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Caryl Pl, Kings Park, NY 11754 Phone: 631-766-3026 | |
Sandra Ruggiero, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 47 Winnecomac Cir, Kings Park, NY 11754 Phone: 516-647-8708 Fax: 631-385-5956 | |
Jennie Sucilsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Terri Dr, Kings Park, NY 11754 Phone: 631-816-6138 | |
Mr. Richard Nemiroff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42 Old Northport Rd, Kings Park, NY 11754 Phone: 631-366-0417 | |
Mark Vernon Applewhite, NY STATE LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Henry St, Kings Park, NY 11754 Phone: 631-948-5383 | |
Lisa Victoria Larson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 Kohr Rd, Kings Park, NY 11754 Phone: 516-359-2777 |