Individual provider Active NPI

Gildelgar Centeno, LCSW

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1386011997
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088634-01 Issued in NY
Practice address
3611 21St St
Long Island City, NY 11106-4705
Phone
(718) 482-7772
Fax
(718) 482-9648
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 088634-01 NY Primary

Addresses

Primary practice location

3611 21St St
Long Island City, NY 11106-4705

Mailing address

60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2400

Other practice location 1

60 Madison Ave
New York, NY 10010-1600
Phone (212) 545-2400

Other practice location 2

8944 164th St
Jamaica, NY 11432-5142
Phone (718) 523-2123

Other practice location 3

511 West 157th Street
New York, NY 10032-5058
Phone (212) 781-7979

Other practice location 4

350 Grand St Rm 240
New York, NY 10002-4629
Phone (212) 634-7550

Other practice location 5

504 W 158th St
New York, NY 10032-7202
Phone (917) 521-3130

Other practice location 6

4215 3rd Ave Fl 2
Bronx, NY 10457-4501
Phone (718) 294-5891

Other practice location 7

975 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466

Other practice location 8

1167 Nostrand Ave
Brooklyn, NY 11225-5417
Phone (718) 277-8303

Other practice location 9

999 Blake Ave
Brooklyn, NY 11208-3535
Phone (718) 277-8303

Other practice location 10

2581 Atlantic Ave
Brooklyn, NY 11207-2412
Phone (718) 495-6700

Other practice location 11

94-98 Manhattan Ave
Brooklyn, NY 11206-2505
Phone (718) 388-0390

Other practice location 12

81 W 115th St
New York, NY 10026-3138
Phone (212) 426-0088

Other practice location 13

255 E Houston St
New York, NY 10002-1013
Phone (212) 477-1120

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
I20210126000737 NY Practitioner - Clinical Social Worker 9739593195 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088634-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network, Inc. CurrentSince Dec 12, 2023 Accepting new patients
NYU Langone Hospitals CurrentSince Jul 5, 2022 Accepting new patients
Community Healthcare Network, Inc. CurrentSince Dec 12, 2023 Accepting new patients
NYU Langone Hospitals CurrentSince Jul 5, 2022 Accepting new patients
Community Healthcare Network Inc Current Accepting new patients
Community Healthcare Network, Inc. Past Accepting new patients

Locations

4215 3rd Ave
#2
Bronx, NY 10457
Phone (718) 294-5891

1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

975 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

911 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 377-3525

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

8944 164th St
Jamaica, NY 11432
Phone (718) 523-2123

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

350 Grand St
Rm 240
New York, NY 10002
Phone (212) 634-7550

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

504 W 158th St
New York, NY 10032
Phone (212) 781-7979

504 W 158th St
Rm 511
New York, NY 10032

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1386011997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 21ST ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111064705",
            "telephone_number": "718-482-7772",
            "fax_number": "718-482-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100101600",
            "country_code": "US",
            "telephone_number": "212-545-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8944 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114325142",
            "country_code": "US",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 West 157th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100325058",
            "country_code": "US",
            "telephone_number": "212-781-7979",
            "fax_number": "917-521-3101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Grand St Rm 240",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024629",
            "country_code": "US",
            "telephone_number": "212-634-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 W 158th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100327202",
            "country_code": "US",
            "telephone_number": "917-521-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 3rd Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104574501",
            "country_code": "US",
            "telephone_number": "718-294-5891",
            "fax_number": "718-294-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593204",
            "country_code": "US",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112255417",
            "country_code": "US",
            "telephone_number": "718-277-8303",
            "fax_number": "718-277-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Blake Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112083535",
            "country_code": "US",
            "telephone_number": "718-277-8303",
            "fax_number": "718-277-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2581 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072412",
            "country_code": "US",
            "telephone_number": "718-495-6700",
            "fax_number": "646-988-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94-98 Manhattan Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062505",
            "country_code": "US",
            "telephone_number": "718-388-0390",
            "fax_number": "718-486-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 W 115th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100263138",
            "country_code": "US",
            "telephone_number": "212-426-0088",
            "fax_number": "212-426-8367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Houston St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100021013",
            "country_code": "US",
            "telephone_number": "212-477-1120",
            "fax_number": "212-477-8957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "GILDELGAR",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088634-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.