Christine Marie Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072558 Issued in NY

Practice address

3811 Broadway FL 3
Astoria, NY 11103-4045

Phone

(718) 726-5953

Fax

(718) 204-5308

NPI assigned

Mar 23, 2010

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Steinway Wellness and Recovery

  • Psychiatric Hospital
  • Astoria, NY
  • NPI 1225403694
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1568786309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 BROADWAY FL 3",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034045",
            "telephone_number": "718-726-5953",
            "fax_number": "718-204-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 BROADWAY FL 3",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034045",
            "telephone_number": "718-726-5953",
            "fax_number": "718-204-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Goodhart
• Goodwill Industries of Greater New York and Northern New Jersey, Inc
• Dominique Goodwin, PA
• Erica Ilissa Goolnick
• Necias Gopico, RPT
• Elizabeth Gordon, LMSW
• Ira Gornish, RPA
• Marina Mazianitou Gottfried, DDS, MS
• Rischa Connell Gottlieb, PH.D.
• GR Transit Inc

• Clinical Social Worker in Astoria, NY
• Providers in Astoria, 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 Mar 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.