Iris J. Gersten-Thornburg, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RO24501-1 Issued in NY

Practice address

6729 Myrtle Ave
Glendale, NY 11385-7063

Phone

(718) 456-7001

Fax

(718) 456-9470

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Iris J. Gersten-Thornburg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Catholic Charities Neigborhood Services

  • Clinical Social Worker
  • Glendale, NY
  • NPI 1881910131
  NPD (past)
• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366460495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155206",
            "telephone_number": "718-965-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857063",
            "telephone_number": "718-456-7001",
            "fax_number": "718-456-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEN-THORNBURG",
        "first_name": "IRIS",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO24501-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "GERSTEN-THORNBURG",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "LCSW-R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maryam Gazi
• Genesis Services, LLC
• Vanessa Eliezer George, FNP
• Stanislava Georgieva-Wieland
• Mina Gerges, PT
• Monica Ghali, MS
• Katherine J Gili, DPT
• Christina Nicole Girardi, M.S. CCC-SLP
• Glendale Chemist LLC
• Glendale Dental Associates

• Clinical Social Worker in Glendale, NY
• Providers in Glendale, 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 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.

Verify at the official NPI Registry.