GERARDA MCDOUGALL (NPI# 1053425702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053425702 |
| Entity Type | Individual |
| Full Name | GERARDA MCDOUGALL |
| Credential | LCSW |
| Practice Address |
366 N Broadway Ste Ph1 Jericho NY 11753-2025 |
| Practice Telephone | 5167544158 |
| Mailing Telephone | 5165265993 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
R-046340-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R046340-1 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2146 Jackson Ave, Seaford, NY 117832606 | 5162213030 | 5162214160 |
| Street Address |
366 N BROADWAY STE PH1 |
| City | JERICHO |
| State | NY |
| Zip Code | 11753-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| Find all providers in zip 11753 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1467680728 | Marian Korenstein | Social Worker | 19 Herkimer Ave, Jericho, NY 11753-1508 | 2009-06-25 |
| 1033350483 | Laurie B Sanders | Social Worker | 16 Craig St, Jericho, NY 11753-1947 | 2009-03-16 |
| 1790920924 | Shelley Joan Haber | Social Worker | 23 Fall Ln, Jericho, NY 11753-2311 | 2008-12-02 |
| 1215100359 | Ellen A. Siber | Social Worker | 10 Friendly Ln, Jericho, NY 11753-2331 | 2008-04-09 |
| 1164584850 | Monica Jeanne Rawn | Social Worker | 23 Sagamore Way S, Jericho, NY 11753-2345 | 2006-12-15 |
| 1780743690 | Tzipi Weiss | Social Worker | 179 Maytime Dr, Jericho, NY 11753-2259 | 2006-12-06 |
| 1184712119 | Patti Jiil Englander | Social Worker | 49 Sullivan Dr, Jericho, NY 11753-1939 | 2006-10-11 |
| Find all providers in JERICHO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.