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

Individual provider Clinical Social Worker · NPI 1891226411

Gina Licursi, LSW is a Clinical Social Worker in Chardon, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

12041 Ravenna Rd
Chardon, OH 44024-7008
Phone: (440) 286-7154
Fax: (440) 286-1037
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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 · Licence 1600350 (OH)

Record details

NPI number1891226411
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedMarch 24, 2017
Last updated in NPPESMarch 24, 2017

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