NPIMap

Organization Active NPI

Gateway to Wellness, LCSW, PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1124609870
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GATEWAY TO WELLNESS, LCSW, PLLC
Practice address
111 Broadway RM 905
New York, NY 10006-2001
Phone
(646) 529-8776
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
John P Carnesecchi, LCSWNPI 1659593374
Title
Founder & Clinical Director, LCSW
Phone
(800) 333-4116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

111 Broadway RM 905
New York, NY 10006-2001

Mailing address

111 Broadway RM 905
New York, NY 10006-2001
Phone (646) 529-8776

National Provider Directory

National Provider Directory

Locations

111 Broadway
Rm 905
New York, NY 10006
Phone (646) 397-4310

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1124609870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROADWAY RM 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062001",
            "telephone_number": "646-529-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY RM 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062001",
            "telephone_number": "646-529-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY TO WELLNESS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "CARNESECCHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FOUNDER & CLINICAL DIRECTOR, LCSW",
        "authorized_official_telephone_number": "800-333-4116",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Apr 15, 2021; 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.