Individual provider Active NPI

Arnott Gordon Gooding III, LCSW

  • Clinical Social Worker
  • Cold Spring Harbor, NY
National Provider Identifier
1790054559
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053353 Issued in NY
Practice address
147 Main St
Cold Spring Harbor, NY 11724-1425
Phone
(516) 383-0284
NPI assigned
Dec 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X R053353 NY
Clinical Social Worker 1041C0700X R053353 NY Primary

Addresses

Primary practice location

147 Main St
Cold Spring Harbor, NY 11724-1425

Mailing address

4 Pennington Dr
Huntington, NY 11743-7112
Phone (516) 383-0284

Other names 1

  • Mr. Gordon Gooding Professional name

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
I20141105001695 NY Practitioner - Clinical Social Worker 6002038148 Practice locations: Cold Spring Harbor, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

147 Main St
Cold Spring Harbor, NY 11724-1425
Phone (631) 351-2940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R053353NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1790054559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PENNINGTON DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437112",
            "telephone_number": "516-383-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241425",
            "telephone_number": "516-383-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "ARNOTT",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "R053353",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GORDON",
            "last_name": "GOODING",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cold Spring Harbor, NY

Sources for this page

Verify at the official NPI Registry.