Stephanie Nicole Gerdes-Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076195-1 Issued in NY

Practice address

227 Madison Street
Gouverneur Healthcare Services
New York, NY 10002

Phone

(212) 238-7498

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Union Health Center IncGroup PAC ID 1951290204, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Union Health Center, Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1871639989
  Medicare reassignment Care Compare group NPD
• Union Health Center

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013900315
  NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1326095191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 88TH ST",
            "address_2": "3G",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725645",
            "telephone_number": "212-238-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MADISON STREET",
            "address_2": "GOUVERNEUR HEALTHCARE SERVICES",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "212-238-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES-MARTIN",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "068974",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076195-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Schwartz Gerber, M.D.
• Judith L Gerberg, LMHC
• Kara Lorraine Gerbino, NP
• Nicole Gerbush
• Robert John Gerchalk, RN
• Christina Dearie Gerdes, M.D.
• Hans Gerdes, MD
• Joyce Ellen Gerdis Karp, M.D.
• Michelle Treitler Gere
• John F Gerecitano, MD

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.