David Abraham Gregory, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077625 Issued in NY

Practice address

270 Riverside Drive #201
Senior Connections Psychological Services of New York P
Johnson City, NY 13790-2741

Phone

(845) 781-6061

Fax

(607) 648-8717

NPI assigned

May 30, 2008

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1245498856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DRIVE",
            "address_2": "SENIOR CONNECTIONS PSYCHOLOGICAL SERVICES OF NEW YORK P",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 RIVERSIDE DRIVE #201",
            "address_2": "SENIOR CONNECTIONS PSYCHOLOGICAL SERVICES OF NEW YORK P",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902741",
            "telephone_number": "845-781-6061",
            "fax_number": "607-648-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "DAVID",
        "middle_name": "ABRAHAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "068419-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03486293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Binghamton Obstetrics and Gynecology,PLLC
• Ellyn Diane Green, LMSW
• Robin Greenblott, RPH
• Kaitlyn M Greenfield
• Charlene Marie Greer, NP
• Thomas Gudas, MD
• Brooke Ann Guernsey
• Emmanuel Guizano, MD
• Owais Gul, MD
• Jason S Gumprecht, PT

• Clinical Social Worker in Johnson City, NY
• Providers in Johnson City, 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 Oct 16, 2012; 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.