MR. KEITH E DORGAN (NPI# 1447738018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447738018 |
| Entity Type | Individual |
| Full Name | MR. KEITH E DORGAN |
| Credential | LMSW |
| Practice Address |
215 West 125th Street 2nd Floor New York NY 10027-4426 |
| Mailing Address |
55 Water Street 2nd Floor Cred Dept New York NY 10041-0004 |
| Practice Telephone | 2124912400 |
| Practice Fax Number | 2124912401 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 103295 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1174557409 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 154 West 71st Street, New York, NY 100234005 | 2124964600 | 9174410195 |
| 4337 Broadway, New York, NY 100332411 | 2125686300 | 2125445094 |
| 590 Fifth Avenue, New York, NY 100364702 | 2125827117 | 2124843530 |
| Street Address |
215 WEST 125TH STREET 2ND FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326327248 | Eric D Wood | Physician Assistant | 215 West 125th Street, 2nd Floor, New York, NY 10027 | 2011-08-09 |
| 1417208430 | Alana Fiorentino | Dietitian, Registered | 215 West 125th Street, New York, NY 10027-4426 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
| Find all providers in zip 10027 | ||||
| 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 |
|---|---|---|---|---|
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1295335982 | Nita Batta | Social Worker | 225 Broadway Ste 2070, New York, NY 10007-3001 | 2020-10-30 |
| 1942809249 | Mekala Poppy Pavlin | Social Worker | 275 W 96th St Apt 23e, New York, NY 10025-6269 | 2020-10-19 |
| 1922606748 | Sally Schuss | Social Worker | 317 Lenox Ave Fl 5, New York, NY 10027-4453 | 2020-10-14 |
| 1982202685 | Josephine Jung-ah Suh | Social Worker | 274 Madison Ave Rm 1501, New York, NY 10016-0701 | 2020-10-14 |
| 1871100099 | Joseph Robert Hudson | Social Worker | 161 E 25th St Apt 2b, New York, NY 10010-2329 | 2020-09-30 |
| 1710594981 | Barbra Teater | Social Worker | 400 W 46th St Apt 3a, New York, NY 10036-9093 | 2020-09-30 |
| 1285241059 | Rachel Easterly | Social Worker | 255 W 23rd St # 2e, New York, NY 10011-2312 | 2020-09-25 |
| 1760098545 | Meriyen Nohemi Marquez Guerra | Social Worker | 120 E 123rd St Apt 4a, New York, NY 10035-1926 | 2020-09-17 |
| 1174138119 | Cassidy M Kahn | Social Worker | 340 E 93rd St Apt 29i, New York, NY 10128-5556 | 2020-09-15 |
| Find all providers in NEW YORK | ||||
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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.