Rodney Alexander Gwyn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069277 Issued in NY

Practice address

333 Atlantic Avenue
St Vincents Mental Health
Brooklyn, NY 11201

Phone

(718) 522-6011

Fax

(718) 522-1560

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Vincent's Services IncGroup PAC ID 7012808793, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rodney.gwyn.p1@direct.heartshare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Vincent's Services, Inc.

  • Foster Care Agency
  • Brooklyn, NY
  • NPI 1003015694
  Medicare reassignment Care Compare group
• St. Vincent's Mental Health Services

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1235359662
  NPD (past)
• St. Vincent's Services

  • Foster Care Agency
  • Brooklyn, NY
  • NPI 1972828135
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154545325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WEST 51ST STREET",
            "address_2": "#51",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-245-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ATLANTIC AVENUE",
            "address_2": "ST VINCENTS MENTAL HEALTH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-522-6011",
            "fax_number": "718-522-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWYN",
        "first_name": "RODNEY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Gventer, DPM, P.C.
• Mariya Gvozdeva
• Gadziro Gwekwerere
• Gary A. Gwertzman, M.D.
• Josephine S Gwira, RN
• Gy Dental PC
• Gy Optometry Care, PC (Eye Care)
• Albertina Gyamfi
• Samuel Kwabena Gyau
• Emily Gylleenhaal

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.