Individual provider Active NPI

Laurie D. Gilkes, LCSW,BCD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1871590034
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR012668-1 Issued in NY
Practice address
330 E 79TH St
Apt. 1G
New York, NY 10021-0966
Phone
(212) 737-0560
Fax
(212) 737-0560
NPI assigned
Jul 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR012668-1 NY Primary

Addresses

Primary practice location

330 E 79TH St
Apt. 1G
New York, NY 10021-0966

Mailing address

330 E 79TH St
Apt. 1G
New York, NY 10021-0966
Phone (212) 737-0560

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
I20031114000648 NY Practitioner - Clinical Social Worker 1052225968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 E 79TH St
Apt 1G
New York, NY 10075-0970
Phone (212) 737-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR012668-1NYMDClinical Social Worker
012668NYMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871590034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 79TH ST",
            "address_2": "APT. 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210966",
            "telephone_number": "212-737-0560",
            "fax_number": "212-737-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 79TH ST",
            "address_2": "APT. 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210966",
            "telephone_number": "212-737-0560",
            "fax_number": "212-737-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILKES",
        "first_name": "LAURIE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW,BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR012668-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.