REBECCA ANN GORDON LCSW
NPI 1255813796
Social Worker - Clinical in East Patchogue, NY

Active since August 31, 2018
119 PINE NECK AVE, EAST PATCHOGUE, NY 11772(631) 830-5820 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2026, Aug 31, 2018 (2 updates tracked since 2018).

About Rebecca Ann Gordon Lcsw NPPES

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

REBECCA ANN GORDON LCSW (NPI 1255813796) is an individual clinical provider in East Patchogue, New York, licensed in New York (094189) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1255813796
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBECCA ANN GORDONCredential: LCSW
Location Address119 PINE NECK AVEEast Patchogue, NY 11772-5727
Mailing Address119 Pine Neck AveEast Patchogue, NY 11772-5727 · (631) 830-5820
Sole ProprietorNo
Enumeration DateAugust 31, 2018
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1255813796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 094189
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.

119 PINE NECK AVE, East Patchogue, NY 11772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255813796, enumerated as an "individual" on August 31, 2018.

The provider is located at 119 PINE NECK AVE EAST PATCHOGUE, NY 11772 and the phone number is (631) 830-5820.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.