Tracey D Gundel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080308 Issued in NY

Practice address

444 Bedford Rd Ste 307
Pleasantville, NY 10570-3031

Phone

(347) 630-9624

NPI assigned

Feb 27, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477722072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 BEDFORD RD STE 307",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703031",
            "telephone_number": "347-630-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 BEDFORD RD STE 307",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703031",
            "telephone_number": "347-630-9624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Bainbridge Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104671411",
            "country_code": "US",
            "telephone_number": "718-830-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74-09 37th Ave.",
            "address_2": "Suite 315",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "11372",
            "country_code": "US",
            "telephone_number": "718-672-1705",
            "fax_number": "718-672-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDEL",
        "first_name": "TRACEY",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69273",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patryce Grant, LMSW
• Virginia S Gray
• Jill Green
• Foustina Felicia Greenaway, M.S
• Nicola Gumbs
• Malaika Gutman-Gates
• Amram Kwame Halevi
• Daniel Hamilton
• Seokmin Han, LMHC
• Denise Hanchet, PT

• 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 Jul 21, 2022; 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.