HOLLY LEE GORDON


Address: 408 Main St South, Center Moriches, NY 11934
Phone: 6317726220

HOLLY LEE GORDON (NPI# 1215169602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215169602
Entity Type Individual
Full Name HOLLY LEE GORDON
Other Name HOLLY GORDON
Credential LCSW
Practice Address 408 Main St South
Center Moriches
NY 11934
Mailing Address 41 Coventry Ave
Mastic
NY 11950-5001
Practice Telephone 6317726220
Practice Fax Number 6317726221
Mailing Telephone 6312940216
Mailing Fax Number 6317226221
Enumeration Date 2009-08-18
Last Update Date 2016-02-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 079684-1 NY Behavioral Health & Social Service Providers

Other Providers HOLLY GORDON

NPI Name Taxonomy Address Enumeration
1316255110 Holly Joan Gordon Psychologist 3321 Sacramento St, San Francisco, CA 94118-1911 2010-09-15

Office Location

Street Address 408 MAIN ST SOUTH
City CENTER MORICHES
State NY
Zip Code 11934

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275915381 Julie Stuart Licensed Practical Nurse 43 Railroad Ave, Center Moriches, NY 11934 2015-06-25
1932508520 Christopher Gene Doloroso Social Worker 408 Main Street #3, Center Moriches, NY 11934 2014-08-19
1710236211 Jeannine Casper Behavioral Analyst 20 Senix Avenue, Center Moriches, NY 11934 2012-08-30
1255600243 Ellen Stein Counselor 129 Hewitt Blvd., Center Moriches, NY 11934 2011-12-20
1295035491 Philip Henry Antz Social Worker 220 Mainstreet, Center Moriches, NY 11934 2010-10-22
1740415744 Sleep Disorder Center Internal Medicine 356 Maind St, Center Moriches, NY 11934 2009-05-19
1033358957 Louise Florence Colon Registered Nurse 40 Trainor Ave, Center Moriches, NY 11934 2009-02-17
1710150271 Independent Group Home Living Nursing Facility/Intermediate Care Facility 21 Montauk Highway, Center Moriches, NY 11934 2008-04-07
1518096437 Pamela Anne Mcdonald Speech-Language Pathologist 77 Union Street, Out East Occupational Therapy PC, Center Moriches, NY 11934 2007-03-05
1770612194 Sophia L. Kary Psychologist 1 Neville Street, Center Moriches, NY 11934 2007-03-02
Find all providers in zip 11934

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740716760 Elizabeth Bannon Social Worker 5 Smith St, Center Moriches, NY 11934-2523 2017-05-11
1235671058 Kaitlin Davis Social Worker 39 Hawkins Ave, Center Moriches, NY 11934-2301 2016-11-10
1932508520 Christopher Gene Doloroso Social Worker 408 Main Street #3, Center Moriches, NY 11934 2014-08-19
1245642925 Crystal Monica Wischhusen Social Worker 196 Belleview Ave, Center Moriches, NY 11934-3729 2014-05-29
1295035491 Philip Henry Antz Social Worker 220 Mainstreet, Center Moriches, NY 11934 2010-10-22
1427173251 Maribeth Costa-kulesa Social Worker 23 Senix Ave, Center Moriches, NY 11934-2902 2007-03-20
1336600600 Cassandra M Gonzalez Social Worker 408 Main St Ste 3, Center Moriches, NY 11934-3523 2019-03-28
1528572781 Tanya Byrnes Social Worker 408 Main St, Center Moriches, NY 11934-3518 2017-11-27
1629525498 Rachel Cunningham Social Worker 408 Main St, Center Moriches, NY 11934-3518 2016-09-08
1003361379 Preet Kamal Parmar Social Worker 408 Main St, Center Moriches, NY 11934-3518 2016-08-16
Find all providers in CENTER MORICHES

Competitor

Search similar providers

City CENTER MORICHES
Zip Code 11934

Improve Information

Please comment or provide details below to improve the information on HOLLY LEE GORDON.

Dataset Information

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.

Trending Searches