Active NPIIndividual provider

Dr. Simone Gordon, DSW

Social Worker, Clinical in Ny, New York

NPI Number1578770715
Practice location
30 East End Avenue, 5P, Ny, NY 10028
Fax
—
Last updated
July 8, 2007

Simone Gordon is a Social Worker, Clinical based in Ny, NY. Simone Gordon practices in Ny, NY and has the professional credentials of DSW. The NPI Number for Simone Gordon is 1578770715 and holds a License No. 024546 R LCSW (NY). The current practice location address for Simone Gordon is 30 East End Avenue, 5P, Ny, NY 10028 and can be reached out via phone at 212-794-3853.

Provider Profile Details

NPI Number
1578770715
Provider Name
Simone Gordon
Credential
DSW
Provider Entity Type
Individual
Gender
Female
Address
30 East End Avenue, 5P, Ny, NY 10028
Phone Number
212-794-3853
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 East End Avenue
5P
Ny, NY 10028
City
Ny
Zip
10028
Phone Number
212-794-3853
Ny, NY 10028Get directions →

Provider Business Mailing Address Details

Address
30 East End Avenue
5P
Ny, NY 10028
City
Ny
State
NY
Zip
10028
Phone Number
212-794-3853

License Information

License Number
024546 R LCSW
License State
NY
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Dr. Simone Gordon, DSW?

The NPI number of Dr. Simone Gordon, DSW is 1578770715. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Simone Gordon, DSW?

Dr. Simone Gordon, DSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 024546 R LCSW.

Where does Dr. Simone Gordon, DSW practice?

The practice location is 30 East End Avenue, 5P, Ny, NY 10028. The office can be reached at 212-794-3853 (phone).

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 1578770715 directly on the NPPES registry website.

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