Organization Active NPI

Laurie D Gilkes LCSW PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1003092958
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PR012668-1 Issued in NY
Legal business name
LAURIE D GILKES LCSW PC
Practice address
330 E 79TH St
Suite 1G
New York, NY 10075-0966
Phone
(212) 737-0560
Fax
(212) 737-0560
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Laurie D Gilkes, LCSW PCNPI 1871590034
Title
President
Phone
(212) 737-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PR012668-1 NY Primary

Addresses

Primary practice location

330 E 79TH St
Suite 1G
New York, NY 10075-0966

Mailing address

330 E 79TH St
Suite 1G
New York, NY 10075-0966
Phone (212) 737-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000109 NY Part B Supplier - Clinic/Group Practice 6305994070 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1003092958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 79TH ST",
            "address_2": "SUITE 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750966",
            "telephone_number": "212-737-0560",
            "fax_number": "212-737-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 79TH ST",
            "address_2": "SUITE 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750966",
            "telephone_number": "212-737-0560",
            "fax_number": "212-737-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE D GILKES LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "GILKES",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-737-0560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW PC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "PR012668-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.