Individual provider Active NPI

Philip Gape, LCSW

  • Clinical Social Worker
  • Babylon, NY
National Provider Identifier
1447932157
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094410 Issued in NY
Practice address
400 W Main St
Babylon, NY 11702-3012
Phone
(631) 805-5668
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 094410 NY Primary

Addresses

Primary practice location

400 W Main St
Babylon, NY 11702-3012

Mailing address

322 Woodland CT
Coram, NY 11727-3619
Phone (631) 655-8225

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
I20240404001197 NY Practitioner - Clinical Social Worker 3476991878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aid to the Developmentally Disabled IncGroup PAC ID 1658762182, 8 clinicians

Practice addresses (Care Compare)

901 E Main St
Suite 508
Riverhead, NY 11901-2680
Phone (631) 727-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aid to the Developmentally Disabled, Inc CurrentSince Feb 25, 2024 Accepting new patients

Locations

901 E Main St
Ste 500
Riverhead, NY 11901
Phone (631) 727-6220

901 E Main St
Ste 508
Riverhead, NY 11901
Phone (631) 727-6220

Organizations & group practices 1

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1447932157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WOODLAND CT",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273619",
            "telephone_number": "631-655-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023012",
            "telephone_number": "631-805-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPE",
        "first_name": "PHILIP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.