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GINA MARIE DIVINCENZO LCSW
NPI 1912066416
Social Worker - Clinical in Syosset, NY

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
175 JERICHO TPKE, STE 213, SYOSSET, NY 11791(631) 316-3965 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gina Marie Divincenzo Lcsw NPPES

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

GINA MARIE DIVINCENZO LCSW (NPI 1912066416) is an individual clinical provider in Syosset, New York, licensed in New York (PR058073-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1912066416
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGINA MARIE DIVINCENZOCredential: LCSW
Location Address175 JERICHO TPKE, STE 213Syosset, NY 11791-4501
Mailing Address44 Kelsey AveHuntington Station, NY 11746-1136 · (631) 316-3965
Phone(631) 316-3965
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 8, 2006
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1912066416 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 NY · PR058073-1
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.
175 JERICHO TPKE, Syosset, NY 11791
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Other Identifiers 3

OtherP3675881NY · Oxford Provider #
OtherMHS#568767NY · Value Options Provider #
Medicare ID-Type UnspecifiedNB8921NY

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

Gina Marie Divincenzo 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 ID9931118031
PECOS Enrollment IDI20060418000690
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11791 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

MR. ROBERT WILLIAM FASANO LMSW
Social Worker (Clinical)
175 JERICHO TPKE, SUITE 115
SYOSSET, NY 11791
Nassau County (516) 359-0561
DR. GREGORY F. DAVIES DPM
Podiatrist
175 JERICHO TPKE, SUITE 300
SYOSSET, NY 11791
Nassau County (516) 496-7676
MARIANNE YOUNG PHYSICIAN PC
Internal Medicine
175 JERICHO TPKE
SYOSSET, NY 11791
Nassau County (631) 249-2242
SYOSSET ENDOCRINOLOGY PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
175 JERICHO TPKE, SUITE 204
SYOSSET, NY 11791
Nassau County (631) 271-9151
MARK ROBERT KAHN
Internal Medicine
175 JERICHO TPKE, STE 204
SYOSSET, NY 11791
Nassau County (516) 496-4141
DR. MARIANNE YOUNG M.D.
Internal Medicine
175 JERICHO TPKE, SUITE 204
SYOSSET, NY 11791
Nassau County (631) 249-2242
NORTH SHORE DIAGNOSTICS
Chiropractor
175 JERICHO TPKE, SUITE 102
SYOSSET, NY 11791
Nassau County (516) 364-3393
DR GREG DAVIES & DR SHARONE STERN
Podiatrist (Foot Surgery)
175 JERICHO TPKE, SUITE 300
SYOSSET, NY 11791
Nassau County (516) 496-7676

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 Divincenzo's NPI number?

The NPI number for Gina Divincenzo is 1912066416. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Gina Divincenzo located?

Gina Divincenzo practices at 175 Jericho Tpke Ste 213, Syosset, NY 11791. The listed phone number is (631) 316-3965.

What is Gina Divincenzo's specialty?

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

Is Gina Divincenzo enrolled in Medicare?

Yes. Gina Divincenzo 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.

When was this NPI record last updated?

The NPPES record for Gina Divincenzo was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.