Individual provider Active NPI

Andrea Gavora, LCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1588488282
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098501-01 Issued in NY
Practice address
2924 Hoyt Ave S
Astoria, NY 11102-1738
Phone
(718) 721-0633
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 098501-01 NY Primary

Addresses

Primary practice location

2924 Hoyt Ave S
Astoria, NY 11102-1738

Mailing address

2451 38TH St Apt 7a
Astoria, NY 11103-4132
Phone (917) 647-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
098501-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Work Counseling Services LCSW PLLC Clinical CurrentSince Nov 17, 2024 Accepting new patients

Locations

2924 Hoyt Ave S
Astoria, NY 11102
Phone (718) 721-0606

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1588488282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 38TH ST APT 7A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034132",
            "telephone_number": "917-647-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 HOYT AVE S",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021738",
            "telephone_number": "718-721-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVORA",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098501-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.