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MS. GINESTRA DE SIMONE LCSW
NPI 1306135199
Social Worker - Clinical in New York, NY

Active since April 01, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
462 1ST AVE, NEW YORK, NY 10016(212) 562-4013 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ginestra De Simone Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GINESTRA DE SIMONE LCSW (NPI 1306135199) is an individual clinical provider in New York, New York, licensed in New York (091218) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1306135199
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. GINESTRA DE SIMONECredential: LCSW
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address462 1st AveNew York, NY 10016-9196 · (212) 562-4013
Phone(212) 562-4013
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 1, 2011
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1306135199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 091218
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 72 054569 (NY)
462 1ST AVE, New York, NY 10016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ginestra De Simone Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244637841
PECOS Enrollment IDI20210924000493
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
1,064 services124 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
81 services81 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
61 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.2
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT MICHAEL LEMBO MD
Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-6425
MISS SHARONA DEBORAH KASHIMALLAK RPA-C
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 578-9951
ALEXANDRA KVERNLAND MD
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
RACHEL ZOE BAUMSTEIN DPT
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
New York County (212) 562-7059
ALIXANDRA LIN PETERSEN DPT
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-7059
ABIGAIL LLOYD
Social Worker
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
TALYA BUXBAUM
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 309-3239
MR. ALEX DASILVA NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016
New York County (646) 236-0823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ginestra De Simone's NPI number?

The NPI number for Ginestra De Simone is 1306135199. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Where is Ginestra De Simone located?

Ginestra De Simone practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-4013.

What is Ginestra De Simone's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ginestra De Simone enrolled in Medicare?

Yes. Ginestra De Simone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ginestra De Simone accept?

Health plans from Providence Health Plan list Ginestra De Simone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ginestra De Simone was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.