Active NPI
Susan Gordon, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1639531726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 045762
- Practice address
- 2233 Nostrand Ave
2ND FL.
Brooklyn, NY 11210-3045 - Phone
- (718) 859-9760
- Fax
- (718) 859-9767
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 045762 | NY | Primary |
Addresses
Primary practice location
2233 Nostrand Ave
2ND FL.
Brooklyn, NY 11210-3045
Mailing address
16842 127TH Ave
Apt. 10B
Jamaica, NY 11434-3153
Phone (718) 949-8807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 045762 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1639531726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16842 127TH AVE",
"address_2": "APT. 10B",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114343153",
"telephone_number": "718-949-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 NOSTRAND AVE",
"address_2": "2ND FL.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103045",
"telephone_number": "718-859-9760",
"fax_number": "718-859-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "SUSAN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "045762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.