Individual provider Active NPI

Anna Brelis Silver Gordon, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1598135022
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083412 Issued in NY
Practice address
170 2ND Ave Apt 3B
New York, NY 10003-5793
Phone
(310) 740-4431
NPI assigned
Sep 27, 2015
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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 083412 NY Primary

Addresses

Primary practice location

170 2ND Ave Apt 3B
New York, NY 10003-5793

Mailing address

1112 Montana Ave # 68
Santa Monica, CA 90403-1652
Phone (310) 740-4431

Other practice location 1

26 W 9th St
Office 2C
New York, NY 10011-8971
Phone (646) 598-2953

Other practice location 2

138 Palisades Ave
Santa Monica, CA 90402-2732
Phone (347) 924-5755

Other names 1

  • Anna Silver Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1598135022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MONTANA AVE # 68",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031652",
            "telephone_number": "310-740-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 2ND AVE APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035793",
            "telephone_number": "310-740-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 W 9th St",
            "address_2": "Office 2C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100118971",
            "country_code": "US",
            "telephone_number": "646-598-2953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 Palisades Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904022732",
            "country_code": "US",
            "telephone_number": "347-924-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANNA",
        "middle_name": "BRELIS SILVER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SILVER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.