Individual provider Active NPI

Scott Robert Gorkin, LSW/R

  • Clinical Social Worker
  • Rye, NY
National Provider Identifier
1053552794
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R029398-1 Issued in NY
Practice address
37-35 Purchase Street
Rye, NY 10580
Phone
(914) 967-6848
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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 R029398-1 NY Primary

Addresses

Primary practice location

37-35 Purchase Street
Rye, NY 10580

Mailing address

50 Albemarle Rd
White Plains, NY 10605-3302
Phone (914) 428-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R029398-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1053552794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALBEMARLE RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053302",
            "telephone_number": "914-428-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-35 PURCHASE STREET",
            "city": "RYE",
            "state": "NY",
            "postal_code": "10580",
            "telephone_number": "914-967-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORKIN",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "credential": "LSW/R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029398-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.