Patricia Evette Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077785 Issued in NY

Practice address

750 Astor Avenue
Bronx
New York, NY 10467

Phone

(212) 568-4484

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 7, 2022 through Jul 7, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jewish Board of Family and Children'S Services, Inc

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1821273459
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1821146333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 VIRGINIA AVENUE",
            "address_2": "UNIT 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "212-568-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ASTOR AVENUE",
            "address_2": "BRONX",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "212-568-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PATRICIA",
        "middle_name": "EVETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077785",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Phillip Gordon, MD
• Molly Gordon, NP
• Murray A Gordon, M.D.
• Natana Gordon
• Nicolas Gordon, MD
• Peter Gregory Gordon, M.D.
• Rachel Gordon, LCSW
• Rachel Joy Gordon, M.D.
• Rachel Vera Gordon
• Rashida Gordon

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.