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

Gina Marie Tedesco, LCSW-R

Individual provider Clinical Social Worker · NPI 1497925671

Gina Marie Tedesco, LCSW-R is a Clinical Social Worker in Patchogue, New York. Licensed in Florida and New York. Registered with an NPI since 2008.

Licensed in
FL, NY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

142 Carman St
Patchogue, NY 11772-3908
Phone: (929) 373-6715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 059766 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW6855 (FL)

Record details

NPI number1497925671
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedMarch 4, 2008
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

Other providers in Patchogue