Individual provider Active NPI

Molly J Gitelson, LCSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1598005894
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
083706-1 Issued in NY
Practice address
1400 Pelham Parkway South Room 1E4
Jacobi Medical Center
Bronx, NY 10471
Phone
(718) 918-4401
Fax
(718) 918-7772
NPI assigned
Feb 22, 2013
Reactivated
Feb 11, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 075422-1 NY
Social Worker 104100000X 083706-1 NY Primary

Addresses

Primary practice location

1400 Pelham Parkway South Room 1E4
Jacobi Medical Center
Bronx, NY 10471

Mailing address

1400 Pelham Parkway South
Room 1E4
Bronx, NY 10471
Phone (718) 918-4401

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
I20240416003994 NY Order and Referring Only - Clinical Social Worker 4082053558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075422-1NYMDSocial Worker
083706-1NYMDSocial Worker
083708NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1598005894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PARKWAY SOUTH",
            "address_2": "ROOM 1E4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "718-918-4401",
            "fax_number": "718-918-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PARKWAY SOUTH ROOM 1E4",
            "address_2": "JACOBI MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "718-918-4401",
            "fax_number": "718-918-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITELSON",
        "first_name": "MOLLY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2016-02-25",
        "deactivation_date": "2014-05-21",
        "reactivation_date": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075422-1",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083706-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.