Individual provider Active NPI

Augusta Gordon, LCSW-R

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1285997593
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085939-1 Issued in NY
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

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
085939-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenpoint Psychotherapy LCSW PLLC Clinical CurrentSince Jul 25, 2019 Accepting new patients
Therapy Era Licensed Clinical Social Worker PC Clinical CurrentSince Dec 29, 2024 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.

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.

Verify at the official NPI Registry.