Individual provider Active NPI

Judith Gil, LCSW

  • Clinical Social Worker
  • Rego Park, NY
National Provider Identifier
1609171974
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082216-1 Issued in NY
Practice address
9238 Queens Blvd
Rego Park, NY 11374-1040
Phone
(718) 426-8110
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 082216-1 NY Primary

Addresses

Primary practice location

9238 Queens Blvd
Rego Park, NY 11374-1040

Mailing address

109 Shepherd Ave
#1
Brooklyn, NY 11208-1226
Phone (347) 822-8191

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
I20170201002419 NY Practitioner - Clinical Social Worker 3870876600 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082216-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Apr 19, 2017 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1609171974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SHEPHERD AVE",
            "address_2": "#1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081226",
            "telephone_number": "347-822-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741040",
            "telephone_number": "718-426-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "JUDITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082216-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.