Individual provider Active NPI

Daniel Gottfried, LCSW

  • Clinical Social Worker
  • Yorktown Heights, NY
National Provider Identifier
1659654093
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
026302 Issued in NY
Practice address
200 Boces Dr
Yorktown Heights, NY 10598-4321
Phone
(914) 248-3661
NPI assigned
Sep 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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 026302 NY Primary

Addresses

Primary practice location

200 Boces Dr
Yorktown Heights, NY 10598-4321

Mailing address

200 Boces Dr
Yorktown Heights, NY 10598-4321
Phone (914) 248-3661

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
026302NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam-Northern Westchester Boces Past Accepting new patients

Organizations & group practices 1

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": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1659654093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOCES DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984321",
            "telephone_number": "914-248-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOCES DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984321",
            "telephone_number": "914-248-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "026302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.