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GINA MARIE TEDESCO LCSW-R
NPI 1497925671
Social Worker - Clinical in Patchogue, NY

Active since March 04, 2008
142 CARMAN ST, PATCHOGUE, NY 11772(929) 373-6715 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gina Marie Tedesco Lcsw-r NPPES

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

GINA MARIE TEDESCO LCSW-R (NPI 1497925671) is an individual clinical provider in Patchogue, New York, licensed in New York (059766) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1497925671
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGINA MARIE TEDESCOCredential: LCSW-R
Location Address142 CARMAN STPatchogue, NY 11772-3908
Mailing Address142 Carman StPatchogue, NY 11772-3908 · (929) 373-6715
Phone(929) 373-6715
Sole ProprietorNo
Enumeration DateMarch 4, 2008
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1497925671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 059766✔ Licensed in FL · SW6855
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.
142 CARMAN ST, Patchogue, NY 11772
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Other Identifiers 1

Medicaid7659369-00FL

Other Providers at the Same Location NPPES

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

MY MIND LINKS
Clinic/Center (Mental Health (Including Community Mental Health Center))
142 CARMAN ST
PATCHOGUE, NY 11772
Suffolk County (192) 937-3671

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 Tedesco's NPI number?

The NPI number for Gina Tedesco is 1497925671. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Gina Tedesco located?

Gina Tedesco practices at 142 Carman St, Patchogue, NY 11772. The listed phone number is (929) 373-6715.

What is Gina Tedesco's specialty?

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

When was this NPI record last updated?

The NPPES record for Gina Tedesco was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.