Individual provider Active NPI

Gella Z Asovski, LCSW

  • Clinical Social Worker
  • Monsey, NY
National Provider Identifier
1376747626
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077283 Issued in NY
Practice address
40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone
(845) 352-6800
Fax
(845) 352-7293
NPI assigned
Jun 12, 2007
Last updated
Mar 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077283 NY Primary

Addresses

Primary practice location

40 Robert Pitt Dr
Monsey, NY 10952-3333

Mailing address

303 Grandview Ave
Monsey, NY 10952
Phone (845) 538-7563

Other identifiers 1

IdentifierTypeStateIssuer
065408OtherNYLICENSE LMSW

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150616002541 NY Order and Referring Only - Clinical Social Worker 9335450469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1376747626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GRANDVIEW AVE",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "10952",
            "telephone_number": "845-538-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523333",
            "telephone_number": "845-352-6800",
            "fax_number": "845-352-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASOVSKI",
        "first_name": "GELLA",
        "middle_name": "Z",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE LMSW",
            "identifier": "065408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.