Elias Steven Gootzeit, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R020933-1 Issued in NY

Practice address

351 Bedford Ave
Mount Vernon, NY 10553-2018

Phone

(914) 469-1672

NPI assigned

Apr 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1831543115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 BEDFORD AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105532018",
            "telephone_number": "914-469-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 BEDFORD AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105532018",
            "telephone_number": "914-469-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOTZEIT",
        "first_name": "ELIAS",
        "middle_name": "STEVEN",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R020933-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonel Brazao Goncalves, REGISTERED NURSE
• Abigail Gonzalez
• Kathy Gonzalez
• Maday C Gonzalez, M.D.
• Eldonia Goode
• Cecille Gordon, D.M.D.
• Lemar Anthony Gordon, LPN
• Randall Gordon Jr.
• Kiana Goshorn
• Monique Graham, RN

• Clinical Social Worker in Mount Vernon, NY
• Providers in Mount Vernon, 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 Apr 22, 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.

Verify at the official NPI Registry.