MRS. GINA MARIE ZOTZ LCSW
NPI 1356862718
Social Worker - Clinical in Jacksonville, NC

Active since July 06, 2017Opted out of Medicare · through Oct 1, 2026
100/100
CMS Quality Rating
1109 GUM BRANCH RD STE 100, JACKSONVILLE, NC 28540(252) 424-4886 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2025, May 6, 2024, Aug 13, 2019 and 2 more (5 updates tracked since 2017).

About Mrs. Gina Marie Zotz Lcsw NPPES

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

MRS. GINA MARIE ZOTZ LCSW (NPI 1356862718) is an individual clinical provider in Jacksonville, North Carolina, licensed in North Carolina (C012454) and active in the NPI registry since July 2017. She has opted out of Medicare through October 1, 2026 and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1356862718
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. GINA MARIE ZOTZCredential: LCSW
Location Address1109 GUM BRANCH RD STE 100Jacksonville, NC 28540-5742
Mailing Address1109 Gum Branch Rd Ste 100Jacksonville, NC 28540-5742 · (252) 424-4886
Sole ProprietorNo
Enumeration DateJuly 6, 2017
Last NPPES UpdateApril 4, 20255 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
NPI 1356862718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C012454
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.

1109 GUM BRANCH RD STE 100, Jacksonville, NC 28540

Other Names 1

Former Name (1)Gina Marie Dibona

Secondary Practice Location 1

Location 1418 Cyrus Thompson DrJacksonville, NC 28546-7708 · Phone (252) 424-4886

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Gina Marie Zotz Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1109 GUM BRANCH RD STE 100
JACKSONVILLE, NC 28540

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 Gina Zotz's NPI number?

The NPI number for Gina Zotz is 1356862718. It was assigned to this individual provider in the NPPES registry on July 6, 2017. The provider is also known as Gina Marie Dibona.

Where is Gina Zotz located?

Gina Zotz practices at 1109 Gum Branch Rd Ste 100, Jacksonville, NC 28540. The listed phone number is (252) 424-4886.

What is Gina Zotz's specialty?

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

Is Gina Zotz enrolled in Medicare?

No. Gina Zotz has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Gina Zotz accept?

Health plans from Blue Cross and Blue Shield of NC list Gina Zotz 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 Gina Zotz was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.