Individual provider Active NPI

Melissa R. Gerson, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1598838237
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077255 Issued in NY
Practice address
3 Columbus Cir FL 15
New York, NY 10019-8716
Phone
(646) 245-2021
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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 077255 NY Primary

Addresses

Primary practice location

3 Columbus Cir FL 15
New York, NY 10019-8716

Mailing address

3 Columbus Cir FL 15
New York, NY 10019-8716
Phone (646) 245-2021

Other practice location 1

210 Central Park S
New York, NY 10019-1428
Phone (646) 245-2023

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
077255NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Park South Psychotherapy, LCSW, LLC Clinical Current Accepting new patients
Columbus Park Behavioral Health, LCSW, LLC Clinical Current Accepting new patients

Locations

3 Columbus Cir
Fl 15
New York, NY 10019
Phone (347) 201-0783

Organizations & group practices 2

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1598838237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COLUMBUS CIR FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100198716",
            "telephone_number": "646-245-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COLUMBUS CIR FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100198716",
            "telephone_number": "646-245-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Central Park S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191428",
            "country_code": "US",
            "telephone_number": "646-245-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSON",
        "first_name": "MELISSA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 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.