Nelima W Gaonkar, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078394-1 Issued in NY

Practice address

108 S Albany St
Ithaca, NY 14850-5446

Phone

(315) 254-6870

NPI assigned

Apr 8, 2009

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bailey Chiropractic PLLC

  • Chiropractor
  • Ithaca, NY
  • NPI 1437799335
  NPD
• Katherine Durrant LCSW PLLC

  dba Whole Wellness Counseling

  • Clinical Social Worker
  • Ithaca, NY
  • NPI 1639865710
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1629211578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148510475",
            "telephone_number": "607-729-6206",
            "fax_number": "607-729-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505446",
            "telephone_number": "315-254-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAONKAR",
        "first_name": "NELIMA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078394-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey M Gallagher-Licitra, RN, PMHNP
• Richard Sebastian Gallagher, LMFT
• Carly Jane Gallow
• Valentina V. Galyanova, MD
• Barbara Lynn Ganzel
• Amy Garbincus, RN
• Charles L Garbo, M.D.
• Kathleen E Gardner, M.D.
• Rachel Garner, M.D.
• Crystal Garrett, L.M.T.

• Clinical Social Worker in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.