Gentle Growth Therapeutic Services, LCSW, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LCSW 052250 Issued in NY

Legal business name

GENTLE GROWTH THERAPEUTIC SERVICES, LCSW, PLLC

Practice address

522 North State Road
#202
Briarcliff Manor, NY 10510

Phone

(914) 471-2632

Fax

(914) 944-0595

NPI assigned

Jan 8, 2009

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Letitia Victoria Coburn, LCSWNPI 1992865265

Title

Owner

Phone

(914) 471-2632

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Letitia V Coburn, LCSW, CP

  • Clinical Social Worker
  • Briarcliff Manor, NY
  • NPI 1992865265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1093952301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 PLEASANTVILLE ROAD, #129",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "10510",
            "telephone_number": "914-471-2632",
            "fax_number": "914-944-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 NORTH STATE ROAD",
            "address_2": "#202",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "10510",
            "telephone_number": "914-471-2632",
            "fax_number": "914-944-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE GROWTH THERAPEUTIC SERVICES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-471-2632",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "LCSW 052250",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Gallignano, AUD
• Alexandra Galullo, CCC-SLP
• Kelly Ann Garbinsky
• Rebecca Merker Gavidia, CCC-SLP
• Audrey R. Gelfand, PH.D.
• Erik George, M.D.
• Susan Gilbert
• Michelle McGill Golczewski
• William L Golden, PHD
• Steven Goodstein II, D.C.

• Adult Mental Health Clinic/Center in Briarcliff Manor, NY
• Providers in Briarcliff Manor, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.