Rebecca Ann Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094189 Issued in NY

Practice address

119 Pine Neck Ave
East Patchogue, NY 11772-5727

Phone

(631) 830-5820

NPI assigned

Aug 31, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Service League, Inc.

  • Community/Behavioral Health Agency
  • Huntington, NY
  • NPI 1528093242
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1255813796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PINE NECK AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725727",
            "telephone_number": "631-830-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PINE NECK AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725727",
            "telephone_number": "631-830-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gibson, PA-C
• Juan Jose Gilbert Fernandez, M.D.
• Stephanie N Gilleran, DO
• Alison Gomez
• Camile Gooden-Bost, M.D.
• Great South Bay Endoscopy Center, LLC
• Donna Marie Gresio, LPN
• Manuel Grinberg, M.D.
• Ross Evan Gruber, DDS
• Mikhail Grzhibek, M.D.

• Clinical Social Worker in East Patchogue, NY
• Providers in East Patchogue, 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 Jan 7, 2026; 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.