Individual provider Active NPI

Gerald Grant Gersh, LCSW, BCD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1275682460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R022645-1 Issued in NY
Practice address
25 E 10TH St
Suite 1-F
New York, NY 10003-6107
Phone
(212) 260-2424
Fax
(845) 528-9570
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R022645-1 NY Primary

Addresses

Primary practice location

25 E 10TH St
Suite 1-F
New York, NY 10003-6107

Mailing address

25 E 10TH St
Suite 1-F
New York, NY 10003-6107
Phone (212) 260-2424

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
I20150909000034 NY Practitioner - Clinical Social Worker 3971819822 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 E 10TH St
New York, NY 10003-6108
Phone (212) 260-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R022645-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275682460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E 10TH ST",
            "address_2": "SUITE 1-F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036107",
            "telephone_number": "212-260-2424",
            "fax_number": "845-528-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E 10TH ST",
            "address_2": "SUITE 1-F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036107",
            "telephone_number": "212-260-2424",
            "fax_number": "845-528-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSH",
        "first_name": "GERALD",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R022645-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.