# GINA BREGGIA-PINE, LICSW

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gina Breggia-PIne, LICSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164613154
- **Authorized official:** MS. GINA M PINE LICSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (401) 944-2270

## Contact information

- **Practice address:** 1 RICHMOND SQ STE 130C, PROVIDENCE, RI 02906-5155
- **Practice address phone:** (401) 944-2270
- **Practice address fax:** (401) 944-0026
- **Mailing address:** PO BOX 165, BARRINGTON, RI 02806-0165
- **Mailing address phone:** (401) 944-2270
- **Mailing address fax:** (401) 944-0026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 10/17/2024