Andrea D Gordon, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R026296 Issued in NY

Practice address

325 Manville Rd
Pleasantville, NY 10570-2122

Phone

(914) 656-4470

NPI assigned

Jan 22, 2007

Last updated

Oct 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Old Fashioned Medicine PC

  • Internal Medicine Physician
  • Pleasantville, NY
  • NPI 1083731012
  NPD (past)
• Philip B. Blank Jr. D.O. P.C.

  • Dermatology Physician
  • Pleasantville, NY
  • NPI 1508123639
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1437203163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRIARCLIFF DR S",
            "address_2": "15",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105622343",
            "telephone_number": "914-656-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MANVILLE RD",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702122",
            "telephone_number": "914-656-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R026296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Glover
• Paul Glushakov, PT, DPT, CSCS
• Jacek Golis, MS PT
• Sandra Reis Gomes, PT, DPT
• Vaughn Michael Gooding
• Lily Horwitz Gordon, LCSW
• Rina Gorvokaj, LMSW
• Antwan Graham
• Patryce Grant, LMSW
• Virginia S Gray

• Clinical Social Worker in Pleasantville, NY
• Providers in Pleasantville, 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 Oct 31, 2011; 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.