Active NPI
Augusta Gordon, LCSW-R
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1285997593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085939-1
- Practice address
- 117 Dobbin St Ste 204a
Brooklyn, NY 11222-2803 - Phone
- (347) 255-7637
- Fax
- (347) 255-7637
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 085939-1 | NY | |
| Clinical Social Worker | 1041C0700X | 085939-1 | NY | Primary |
Addresses
Primary practice location
117 Dobbin St Ste 204a
Brooklyn, NY 11222-2803
Mailing address
117 Dobbin St Ste 204a
Brooklyn, NY 11222-2803
Phone (347) 255-7637
Other practice location 1
117 Dobbin St Ste 306
Brooklyn, NY 11222-2803
Phone (347) 255-7637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085939-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenpoint Psychotherapy LCSW PLLC | Clinical | Current | Accepting new patients |
| Therapy Era Licensed Clinical Social Worker PC | Clinical | Current | Accepting new patients |
Locations
641 Higuera St
Ste 220
San Luis Obispo, CA 93401
Phone (805) 235-5540
117 Dobbin St
Ste 204A
Brooklyn, NY 11222
Phone (347) 255-1747
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1386297224
-
- Clinical Social Worker
- San Luis Obispo, CA
- NPI 1053129924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1285997593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 DOBBIN ST STE 204A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112222803",
"telephone_number": "347-255-7637",
"fax_number": "347-255-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 DOBBIN ST STE 204A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112222803",
"telephone_number": "347-255-7637",
"fax_number": "347-255-7637"
}
],
"practiceLocations": [
{
"address_1": "117 Dobbin St Ste 306",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112222803",
"country_code": "US",
"telephone_number": "347-255-7637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "AUGUSTA",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "085939-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085939-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.