Gateway Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079890-1 Issued in NY

Legal business name

GATEWAY COUNSELING LCSW PLLC

Practice address

363 Route 111
Suite 103
Smithtown, NY 11787-4750

Phone

(631) 335-3960

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Laurel Levin

Title

Owner

Phone

(631) 335-3960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1932516911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874750",
            "telephone_number": "631-335-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874750",
            "telephone_number": "631-335-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-335-3960"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079890-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Jean Gargiulo-Lemza, MA CCC-SLP
• Nicholas Garguilo
• Caroline Grace Garretson
• Joanne Garvar
• Nichole Marie Gassick, RN
• Yolanda Gavigan, L.AC, LMT
• Marta Gebbia, M.S.
• Matthew Douglas Gee, LCSW PHD
• Thomas Gee, RPH
• Darlene A Gelin, LCSW-R

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, 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 13, 2014; 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.