REBECCA ANN GORDON (NPI# 1255813796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255813796 |
| Entity Type | Individual |
| Full Name | REBECCA ANN GORDON |
| Credential | LMSW |
| Practice Address |
208 Roanoke Ave Riverhead NY 11901-2706 |
| Mailing Address |
119 Pine Neck Ave East Patchogue NY 11772-5727 |
| Practice Telephone | 6313690104 |
| Mailing Telephone | 6318305820 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 097198 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497265292 | Rebecca Gordon | Pharmacist | 208 N Antlers Pl, Bear, DE 19701-2766 | 2017-10-05 |
| 1518076769 | Rebecca Grace Gordon | Psychiatry & Neurology | 1639 E 19th, Eugene, OR 97403 | 2006-08-30 |
| 1376154484 | Rebecca Elaine Gordon | Technician | 620 W Pike St, Clarksburg, WV 26301-2663 | 2020-08-12 |
| 1417595323 | Rebecca Gordon | Social Worker | 222 Rockaway Tpke Ste 1, Cedarhurst, NY 11516-1833 | 2019-12-11 |
| 1629612692 | Rebecca Gordon | Student in an Organized Health Care Education/Training Program | 160 Convent Ave, New York, NY 10031-9101 | 2019-11-03 |
| 1457810590 | Rebecca Gordon | Behavior Technician | 54 Main St, Sturbridge, MA 01566-1281 | 2019-03-18 |
| 1164904702 | Rebecca Anne Gordon | Physical Therapist | 2145 Country Club Rd Ste 800, Jacksonville, NC 28546-2400 | 2018-08-30 |
| 1801248596 | Rebecca Marie Gordon | Nurse Practitioner | 2196 E Williams Field Rd Ste 116, Gilbert, AZ 85295-0755 | 2016-07-06 |
| 1528458205 | Rebecca Gordon | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-02-02 |
| 1740602127 | Rebecca Baker Gordon | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2014-01-20 |
| Street Address |
208 ROANOKE AVE |
| City | RIVERHEAD |
| State | NY |
| Zip Code | 11901-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922129626 | Manjula Sharma | Psychiatry & Neurology | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2007-04-02 |
| 1902413909 | Danielle Dahl | Counselor | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2020-09-24 |
| 1497308985 | Cristine Parmigiani | Social Worker | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-07-23 |
| 1104481043 | Emily Lynn Campo | Social Worker | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-05-07 |
| 1376107714 | Anthony Frederick Vecchiarello | Social Worker | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-04-30 |
| 1104382233 | Alexandra Taylor Poje | Rehabilitation Practitioner | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-02-13 |
| 1023573714 | Michelle Christoffersen | Case Manager/Care Coordinator | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-02-06 |
| 1770057267 | Eric Gerald Elie | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-17 |
| 1326512054 | Eleanor Marin-hurley | Specialist/Technologist | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-16 |
| 1881168839 | Victoria Oliver | Counselor | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2019-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
| 1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
| 1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
| 1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
| 1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
| 1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
| 1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
| 1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
| 1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| Find all providers in zip 11901 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221079 | Hillary Lauren Koplinka | Social Worker | 48 Pine Ct, Riverhead, NY 11901-3435 | 2019-02-20 |
| 1235620808 | Teresa Marie Nopper | Social Worker | 21 W 2nd St Ste 16, Riverhead, NY 11901-2752 | 2018-05-19 |
| 1780072629 | Jennifer Valcin | Social Worker | 85 Trout Brook Ln, Riverhead, NY 11901-5072 | 2014-12-30 |
| 1265820450 | Beata Harrison | Social Worker | 21 W 2nd St Ste 19, Riverhead, NY 11901-2752 | 2014-12-23 |
| 1114324498 | Debra Beattie | Social Worker | 1380 Roanoke Ave Ste 201, Riverhead, NY 11901-2035 | 2014-12-02 |
| 1750608493 | Maritza Juliet Santos | Social Worker | 700 Harrison Ave, Riverhead, NY 11901-2780 | 2010-04-20 |
| 1053927137 | Bette Jayne Trojanowski | Social Worker | 1394 Roanoke Ave Ste A, Riverhead, NY 11901-2100 | 2020-09-23 |
| 1447866272 | Jonathan M. Harbord | Social Worker | 400 W Main St, Riverhead, NY 11901-2813 | 2020-09-17 |
| 1841810066 | Johanna St Jean | Social Worker | 1380 Roanoke Ave, Riverhead, NY 11901-2098 | 2020-04-17 |
| 1134765001 | Sarah Mulligan | Social Worker | 400 W Main St, Riverhead, NY 11901-2813 | 2019-11-25 |
| Find all providers in RIVERHEAD | ||||
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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.