Active NPI
Daphne Jane Gerson, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1124359377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73070999
- Practice address
- 277 Avenue C
1H
New York, NY 10009-2536 - Phone
- (212) 477-2515
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73070999 | NY | Primary |
Addresses
Primary practice location
277 Avenue C
1H
New York, NY 10009-2536
Mailing address
277 Avenue C
New York, NY 10009-2536
Phone (212) 477-2515
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (323) 205-7088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73070999 | NY | MD | Clinical Social Worker |
| 070999 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMSC Az LLC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Senior Living Behavioral Health LCSW PLLC | Clinical | Current | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
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.
-
- Clinical Social Worker
- New York, NY
- NPI 1083150056
-
- Mental Health Counselor
- Staten Island, NY
- NPI 1972715456
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1124359377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 AVENUE C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092536",
"telephone_number": "212-477-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 AVENUE C",
"address_2": "1H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100092536",
"telephone_number": "212-477-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSON",
"first_name": "DAPHNE",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73070999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.