Individual provider Active NPI

Emily Gordon

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1457192189
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041533 Issued in NY
Practice address
156 W 56TH St Ste 1804
New York, NY 10019-3878
Phone
(212) 851-8100
Fax
(212) 537-0102
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 R041533 NY Primary

Addresses

Primary practice location

156 W 56TH St Ste 1804
New York, NY 10019-3878

Mailing address

333 Hart Ave
Staten Island, NY 10310-3046
Phone (718) 873-3818

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
I20240612001455 NY Practitioner - Clinical Social Worker 7113469693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Psychassociates LLPGroup PAC ID 3072404888, 33 clinicians

Practice addresses (Care Compare)

156 W 56TH St
Suite 1804
New York, NY 10019-3878
Phone (212) 851-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychassociates LLP CurrentSince Jun 3, 2024 Accepting new patients
Garfinkel & Associates Past Accepting new patients

Locations

1516 Oriental Blvd
Brooklyn, NY 11235
Phone (212) 342-9301

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

40 Keogh Ln
New Rochelle, NY 10805
Phone (914) 636-6200

156 W 56th St
Ste 1804
New York, NY 10019
Phone (212) 851-8100

88 Old Town Rd
Staten Island, NY 10304
Phone (718) 979-5000

85 Bloomingrove Dr
Troy, NY 12180
Phone (212) 851-8100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1457192189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HART AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103046",
            "telephone_number": "718-873-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST STE 1804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193878",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.