Active NPI
Shirley L Court, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1316010796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R047928-1
- Practice address
- 412 Avenue of the Americas
Suite 400
New York, NY 10011-8409 - Phone
- (212) 505-7073
- Fax
- (917) 591-8788
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R047928-1 | NY | Primary |
Addresses
Primary practice location
412 Avenue of the Americas
Suite 400
New York, NY 10011-8409
Mailing address
269 Tichenor Ave
South Orange, NJ 07079-2139
Phone (212) 505-7073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01925786 | Medicaid | NY |
Other names 1
- Shirley Court-Gonzalez
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 |
|---|---|---|---|
| R047928-1 | NY | MD | Clinical Social Worker |
| 047928 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316010796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 TICHENOR AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792139",
"telephone_number": "212-505-7073",
"fax_number": "917-591-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 AVENUE OF THE AMERICAS",
"address_2": "SUITE 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118409",
"telephone_number": "212-505-7073",
"fax_number": "917-591-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURT",
"first_name": "SHIRLEY",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R047928-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01925786",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEY",
"last_name": "COURT-GONZALEZ",
"credential": "LCSW, BCD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
- Vanessa Coupet, DMD
- Andreas Couraud, NP-C
- Mark Sam Courey
- Francine Cournos, M.D.
- Colleen Cournot, D.D.S.
- Morgan Courteau
- Sara Margarita Courtney Baigorri, LMSW
- Courtney Darsa Nutrition LLC (Nourishing NY)
- Courtney Kanfer Israely LLC (Courtney's Speech Corner)
- Courtney Rennicke, PH.D. PLLC (Rennicke & Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.