MEDICARE: MS. GINA CHIARA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	7198	CT

General Provider Information

NPI Number	:	1396068821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GINA CHIARA LCSW

Provider Business Mailing Address
First Line	:	4 CLOVER CT
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3303
Country	:	US
Telephone Number	:	860-670-4287
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CLOVER CT
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3303
Country	:	US
Telephone Number	:	860-670-4287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	01/28/2026

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