Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Bodnar LCSW PC

Organization Clinical Social Worker · NPI 1609438258

Gina Bodnar LCSW PC is a Clinical Social Worker in Smithtown, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

811 W Jericho Tpke Ste 203E
Smithtown, NY 11787-3220
Phone: (631) 487-2633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609438258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Greco — Licensed Clinical Social Worker · (631) 487-2633
NPI enumeratedJuly 3, 2019
Last updated in NPPESJanuary 1, 2024
Certification dateJanuary 1, 2024
Mailing address17 Cliftwood Pl, Kings Park, NY 11754-4010

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