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

Individual provider Clinical Social Worker · NPI 1790836070

Gina Marie Fattibene, LCSW is a Clinical Social Worker in Riverhead, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

1380 Roanoke Ave Ste 201
Riverhead, NY 11901-2098
Phone: (631) 369-4418
Fax: (631) 369-4421
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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 0719131 (NY)

Record details

NPI number1790836070
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESAugust 6, 2009

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