Individual provider Active NPI

Theresa Gail Goldsborough, MSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1225324858
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R037893-1 Issued in NY
Practice address
72 Mohawk Rd
Yonkers, NY 10710-5026
Phone
(914) 779-5180
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R037893-1 NY Primary

Addresses

Primary practice location

72 Mohawk Rd
Yonkers, NY 10710-5026

Mailing address

72 Mohawk Rd
Yonkers, NY 10710-5026
Phone (914) 779-5180

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110000599 NY Practitioner - Clinical Social Worker 7012298847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

50 -98 E 168TH St
Bronx, NY 10452-7929
Phone (718) 293-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R037893-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Clinical CurrentSince Sep 6, 2024 Accepting new patients
Anacaona Counseling Psychotherapy LCSW PLLC Clinical Past Accepting new patients

Locations

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1225324858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOHAWK RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105026",
            "telephone_number": "914-779-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MOHAWK RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107105026",
            "telephone_number": "914-779-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBOROUGH",
        "first_name": "THERESA",
        "middle_name": "GAIL",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R037893-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.