Bon Ha Gu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090339 Issued in NY

Practice address

24302 Northern Blvd
Little Neck, NY 11362-1150

Phone

(718) 423-6200

NPI assigned

Oct 2, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sohomd.bonhagu@157389.advancedmd-direct.com

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1427533835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24302 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621199",
            "telephone_number": "718-423-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621150",
            "telephone_number": "718-423-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "BON HA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090339",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda E Grant, LCSW
• Sharon Elaine Greenberg, MD
• Michael Greene, LMSW
• Catherine Tracy Grimes, MSED
• Kari Gruber
• Sinem Sule Gunes-Cetinkaya, MS, RD
• Myron Gurman, D.D.S.
• Marc Guttman, PSYD
• H Plaza Pharmacy Inc (Moduna Pharmacy)
• Sungwoong Ha, LAC

• Clinical Social Worker in Little Neck, NY
• Providers in Little Neck, 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 Dec 28, 2020; 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.