Rachel Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078032 Issued in NY

Practice address

138 Pine St
Woodmere, NY 11598-2628

Phone

(917) 518-8922

NPI assigned

Aug 8, 2011

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prominis Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1841323771
  NPD
• Comprehensive Women's Health of N.Y. PLLC

  • Obstetrics & Gynecology Physician
  • Glendale, NY
  • NPI 1982736047
  NPD (past)

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1861771867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PINE ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982628",
            "telephone_number": "917-518-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PINE ST",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982628",
            "telephone_number": "917-518-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Goltz, MD
• Polina Golubchik
• Clara Gonzalez Leyva
• Bruce Goodheart, P.T.
• Jacob Martin Gordon, D.D.S.
• Esther Gottlieb
• Aviva Michelle Graber, OTR/L
• Nancy J. Greebel, OTR
• Abraham I Green, MD
• Judith Green, MD

• Clinical Social Worker in Woodmere, NY
• Providers in Woodmere, 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 Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.