Individual provider Active NPI

Sarah Gellman, LCSW CASAC-2

  • Clinical Social Worker
  • Queens Village, NY
National Provider Identifier
1053773945
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089202 Issued in NY
Practice address
8045 Winchester Blvd BLDG 73
Queens Village, NY 11427-2195
Phone
(718) 264-3970
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 089202 NY Primary

Addresses

Primary practice location

8045 Winchester Blvd BLDG 73
Queens Village, NY 11427-2195

Mailing address

8045 Winchester Blvd BLDG 73
Queens Village, NY 11427-2195
Phone (718) 264-3970

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1053773945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD BLDG 73",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272195",
            "telephone_number": "718-264-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 WINCHESTER BLVD BLDG 73",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272195",
            "telephone_number": "718-264-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLMAN",
        "first_name": "SARAH",
        "credential": "LCSW CASAC-2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.