Individual provider Active NPI

Nina Gershowitz, LCSW

  • Clinical Social Worker
  • Peekskill, NY
National Provider Identifier
1073699369
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R046570-1 Issued in NY
Practice address
524 Viewpoint Ter
Peekskill, NY 10566-6209
Phone
(914) 588-0075
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 R046570-1 NY Primary

Addresses

Primary practice location

524 Viewpoint Ter
Peekskill, NY 10566-6209

Mailing address

524 Viewpoint Ter
Peekskill, NY 10566-6209
Phone (914) 588-0075

Other identifiers 3

IdentifierTypeStateIssuer
115050OtherNYVALUE OPTIONS
7198470OtherNYAETNA BEHAVIORAL HEALTH
P2824822OtherNYOXFORD BEHAVIORAL HEALTH

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
I20120203000000 NY Practitioner - Clinical Social Worker 8022275064 Practice locations: Croton on Hudson, NY; Peekskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1392 Albany Post Rd
Suite E 3
Croton on Hudson, NY 10520-1559
Phone (914) 588-0075

524 Viewpoint Ter
Peekskill, NY 10566-6209
Phone (914) 588-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046570-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1073699369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 VIEWPOINT TER",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105666209",
            "telephone_number": "914-588-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 VIEWPOINT TER",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105666209",
            "telephone_number": "914-588-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHOWITZ",
        "first_name": "NINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046570-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "115050",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "7198470",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD BEHAVIORAL HEALTH",
            "identifier": "P2824822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.