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

Individual provider Clinical Social Worker · NPI 1518391705

Gina Marie Cubillos, LCSW is a Clinical Social Worker in Wantagh, New York. Graduated from Fordham University School of Medicine in 2013, 13 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
13
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2175 Wantagh Ave Ste 101
Wantagh, NY 11793-3925
Phone: (516) 644-6495
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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 084487 (NY)

Record details

NPI number1518391705
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 25, 2013
Last updated in NPPESAugust 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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