MR. VAKHTANG GOMELAURI LCSW - NPI 1073889994 - Social Worker in Brooklyn, NY

Q: What is Vakhtang Gomelauri's NPI number?

The NPI number for Vakhtang Gomelauri is 1073889994. It was assigned to this individual provider in the NPPES registry on March 25, 2012.

Q: What is Vakhtang Gomelauri's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Mr. Vakhtang Gomelauri Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VAKHTANG GOMELAURI LCSW (NPI 1073889994) is an individual clinical provider in Brooklyn, New York, licensed in New York (085580) and active in the NPI registry since March 2012. He maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1073889994

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. VAKHTANG GOMELAURICredential: LCSW

Location Address26 COURT ST STE 1009Brooklyn, NY 11242-1110

Mailing Address26 Court St Ste 1009Brooklyn, NY 11242-1110 · (347) 699-8910 · Fax (267) 378-9424

Phone(347) 699-8910

Fax(267) 378-9424

Sole ProprietorYes

Enumeration DateMarch 25, 2012

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1073889994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 085580

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 085580 (NY)

26 COURT ST STE 1009, Brooklyn, NY 11242

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Secondary Practice Location 1

Location 1180 Livingston StBrooklyn, NY 11201-5861 · Phone (314) 546-1679 ext. 1

Other Identifiers 1

Other085580NY · The University Of The State Of New York Education Department

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT KAYE-WALSH LCSW

Social Worker (Clinical)