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: August 16, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Gordon's NPI number?

The NPI number for Rebecca Gordon is 1255813796. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Rebecca Gordon located?

Rebecca Gordon practices at 119 Pine Neck Ave, East Patchogue, NY 11772. The listed phone number is (631) 830-5820.

What is Rebecca Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Rebecca Gordon was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.