Active NPI
Gessy Sarai Rodriguez
- Social Worker
- Brentwood, NY
National Provider Identifier
1689150559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 101889
- Practice address
- 14 Washington Ave Ste 2
Brentwood, NY 11717-3247 - Phone
- (631) 617-5300
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 101889 | NY | Primary |
Addresses
Primary practice location
14 Washington Ave Ste 2
Brentwood, NY 11717-3247
Mailing address
25 Anna Rd
Bay Shore, NY 11706-1626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101889 | Other | NY | MASTER OF SOCIAL WORK LICENSE |
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 |
|---|---|---|---|
| 101889 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons LCSW, PC | 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.
-
- Clinical Social Worker
- Brentwood, NY
- NPI 1023380771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1689150559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ANNA RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117061626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WASHINGTON AVE STE 2",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117173247",
"telephone_number": "631-617-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "GESSY",
"middle_name": "SARAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "101889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASTER OF SOCIAL WORK LICENSE",
"identifier": "101889",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.