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

Individual provider Social Worker · NPI 1093262727

Gina Provisiero, LCSW is a Social Worker in Lehighton, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2016
Specialties on file
2
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

777 Blakeslee Blvd Dr E Ste 3
Lehighton, PA 18235
Phone: (631) 512-1264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 430 W White St Apt 2, Summit Hill, PA 18250-1028 — (631) 512-1264

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X · Licence SW133460 (PA)

Record details

NPI number1093262727
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 11, 2016
Last updated in NPPESAugust 29, 2019

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