Irina Gordeyeva, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089185-01 Issued in NY

Practice address

5 Court Street Suite 42
Chenango County Behavioral Health Services
Norwich, NY 13815

Phone

(607) 337-1600

Fax

(607) 334-4519

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Irina Sergis Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Chenango

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwich, NY
  • NPI 1003846270
  Medicare reassignment NPD Authorized official
• Chenango County County Treasurer

  • Land Ambulance
  • Norwich, NY
  • NPI 1215679840
  NPD

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1013367341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COURT STREET SUITE 42",
            "address_2": "CHENANGO COUNTY BEHAVIORAL HEALTH SERVICES",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "13815",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT STREET SUITE 42",
            "address_2": "CHENANGO COUNTY BEHAVIORAL HEALTH SERVICES",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "13815",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDEYEVA",
        "first_name": "IRINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089185-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "SERGIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele Giammella, PT
• Judith Glover, NP
• Abigail Goings, CCC-SLP
• Shamika Vinayak Gokhale, DO
• Danielle Goosley, PT
• Valerie Gray
• Anita Doreen Grays, MSPT
• Ronald Greenberg, RPH, MS
• Lynne Dora Greenman Alton Ryberg
• Erica Gregory, LCSW

• Clinical Social Worker in Norwich, NY
• Providers in Norwich, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.