MR. STEVEN GORDON LCSWR - NPI 1225045511 - Social Worker in Commack, NY

Q: What is Steven Gordon's NPI number?

The NPI number for Steven Gordon is 1225045511. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Steven Gordon's specialty?

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

Q: Is Steven Gordon enrolled in Medicare?

No. Steven Gordon has opted out of Medicare through February 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Steven Gordon was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mr. Steven Gordon Lcswr NPPES

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

MR. STEVEN GORDON LCSWR (NPI 1225045511) is an individual clinical provider in Commack, New York, licensed in New York (049123R) and active in the NPI registry since August 2006. He has opted out of Medicare through February 29, 2028.

NPPES Registry Identity

NPI1225045511

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. STEVEN GORDONCredential: LCSWR

Location Address646 COMMACK RDCommack, NY 11725-5426

Mailing Address7261 113th St, Apt 2 IForest Hills, NY 11375-5635 · (718) 575-2186

Phone(646) 402-5363

Fax(631) 543-8573

Sole ProprietorYes

Enumeration DateAugust 1, 2006

Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration

NPPES CertifiedNovember 26, 2021

✔ NPI 1225045511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in NY · 049123R✔ Licensed in NY · R049123

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.

646 COMMACK RD, Commack, NY 11725

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Steven Gordon Lcswr has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 28, 2020 through February 29, 2028.

Opt-Out Effective DateFebruary 28, 2020

Opt-Out In Effect ThroughFebruary 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

DR. ALLEN MICHAEL KAPLAN M.D.

Pediatrics