Gordon Stuart Powell, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R040311-1 Issued in NY

Practice address

150 W 26TH St
Suite 601
New York, NY 10001-6813

Phone

(212) 929-3715

Fax

(212) 929-3715

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1467437095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 26TH ST",
            "address_2": "SUITE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016813",
            "telephone_number": "212-929-3715",
            "fax_number": "212-929-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 26TH ST",
            "address_2": "SUITE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016813",
            "telephone_number": "212-929-3715",
            "fax_number": "212-929-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "GORDON",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040311-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS SOCIAL WORK LICENSE",
            "identifier": "R040311-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danica Javon Powell, CPD
• David Powell
• Dawn Marie Powell, DDS
• Dionne R Powell, M.D.
• Gavin Lance Powell, MASSAGE THERAPIST
• Jahida Powell
• Janice Robin Powell, PHD LCSW
• Jeffrey Gage Powell, NP
• Jessica Powell, PSY.D.
• Joshua Edward Powell, MD

• Clinical Social Worker in New York, NY
• Providers in New York, 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 8, 2010; 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.