ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC
NPI 1295367019
Social Worker - Clinical in Port Jefferson Station, NY

Q: What is Ellen J Gordon Licensed Master Social Worker PC's specialty?

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

Active since February 10, 2020

8 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776(631) 736-7707 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2022, Jan 28, 2022, Feb 10, 2020 (3 updates tracked since 2020).

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About Ellen J Gordon Licensed Master Social Worker Pc NPPES

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

ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC (NPI 1295367019) is a healthcare organization registered as a clinical in Port Jefferson Station, New York and active in the NPI registry since February 2020. The organization lists Ellen Gordon, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1295367019

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC

Location Address8 ROOSEVELT AVEPort Jefferson Station, NY 11776-3337

Mailing Address507 Empire AveWest Babylon, NY 11704-3306 · (631) 649-6278

Phone(631) 736-7707

Organization SubpartNo

Authorized OfficialEllen GordonLcsw · (631) 649-6278

Enumeration DateFebruary 10, 2020

Last NPPES UpdateMarch 9, 20223 updates tracked since enumeration

NPPES CertifiedMarch 9, 2022

✔ NPI 1295367019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

8 ROOSEVELT AVE, Port Jefferson Station, NY 11776

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MS. ELENA ANN PRIESMAN

Social Worker