Individual provider Active NPI

Nancy S Gershman

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1043867757
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097644 Issued in NY
Practice address
80 E End Ave Apt 15D
New York, NY 10028-8017
Phone
(773) 255-4677
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 097644 NY Primary

Addresses

Primary practice location

80 E End Ave Apt 15D
New York, NY 10028-8017

Mailing address

80 E End Ave Apt 15D
New York, NY 10028-8017
Phone (773) 255-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310001052 NY Practitioner - Clinical Social Worker 2062933823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

280 Madison Ave
RM 210
New York, NY 10016-0816
Phone (646) 389-5801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097644NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Therapy Group, Lcsws Psychotherapy Professionals PLLC Clinical CurrentSince Feb 1, 2025 Accepting new patients

Locations

280 Madison Ave
Rm 210
New York, NY 10016
Phone (646) 389-5801

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1043867757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E END AVE APT 15D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288017",
            "telephone_number": "773-255-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E END AVE APT 15D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100288017",
            "telephone_number": "773-255-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHMAN",
        "first_name": "NANCY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.