Active NPIIndividual providerSole proprietor

Timothy D Gordon, MSW

Social Worker in Carmel, New York

NPI Number1386324572
Practice location
667 Stoneleigh Ave Ste 202, Carmel, NY 10512-2455
Fax
845-622-5055
Last updated
July 13, 2026

Timothy D Gordon is a Social Worker based in Carmel, NY. Timothy D Gordon practices in Carmel, NY and has the professional credentials of MSW. The NPI Number for Timothy D Gordon is 1386324572 and holds a License No. 120845 (NY). The current practice location address for Timothy D Gordon is 667 Stoneleigh Ave Ste 202, Carmel, NY 10512-2455 and can be reached out via phone at 845-279-5908 and via fax at 845-622-5055.

Provider Profile Details

NPI Number
1386324572
Provider Name
Timothy D Gordon
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
667 Stoneleigh Ave Ste 202, Carmel, NY 10512-2455
Phone Number
845-279-5908
Fax Number
845-622-5055
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2023
Last Update Date
July 13, 2026
Certification Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
City
Carmel
Zip
10512-2455
Phone Number
845-279-5908
Fax Number
845-622-5055
Carmel, NY 10512Get directions →

Provider Business Mailing Address Details

Address
667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
City
Carmel
State
NY
Zip
10512-2455
Phone Number
845-279-5908
Fax Number
845-622-5055

License Information

License Number (1)
120845
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X · Primary
License Number (2)
7828
License State (2)
CT
Taxonomy (2)
Social Worker · 104100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy D Gordon, MSW?

The NPI number of Timothy D Gordon, MSW is 1386324572. It was assigned on July 21, 2023 and is currently active in the NPPES registry.

What is the specialty of Timothy D Gordon, MSW?

Timothy D Gordon, MSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 120845.

Where does Timothy D Gordon, MSW practice?

The practice location is 667 Stoneleigh Ave Ste 202, Carmel, NY 10512-2455. The office can be reached at 845-279-5908 (phone) or 845-622-5055 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386324572 directly on the NPPES registry website.

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