Gabriel Luke Slaboda, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

114947 Issued in NY

Practice address

3 E Evergreen Rd
New City, NY 10956-5145

Phone

(347) 460-4461

NPI assigned

Mar 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Luke Slaboda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1205693645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 N 7TH ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112931",
            "telephone_number": "706-207-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E EVERGREEN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565145",
            "telephone_number": "347-460-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABODA",
        "first_name": "GABRIEL",
        "middle_name": "LUKE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "114947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKE",
            "last_name": "SLABODA",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annette Simao, PSYD
• Gillian Elizabeth Sinclair, LCSW
• Balveen Singh, D.O.
• Briana Skelly, MS, CCC-SLP
• Skills Licensed Behavior Analyst PLLC
• Nancy Slade-Wernick, PT
• Maribel Slade, R.N.
• Kiera Smith
• Maureen B Smith, PHD
• Monica Anais Smith

• Social Worker in New City, NY
• Providers in New City, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.