Mr Thomas W Gordon, | |
107 Mineral Springs Rd, Highland Mills, NY 10930-6228 | |
(914) 924-1598 | |
Not Available |
Full Name | Mr Thomas W Gordon |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 107 Mineral Springs Rd, Highland Mills, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508317363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 9258350 (New York) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 32584 (New York) | Secondary |
Entity Name | Tom Gordon Lcsw Therapy Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356040356 PECOS PAC ID: 9739546177 Enrollment ID: O20230531000734 |
Mailing Address | Practice Location Address |
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Mr Thomas W Gordon, 249 Main Street, Beacon, NY 12508 Ph: (845) 756-2366 | Mr Thomas W Gordon, 107 Mineral Springs Rd, Highland Mills, NY 10930-6228 Ph: (914) 924-1598 |
Mrs. Lorraine E. Murphy, LPC, LCAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Ferndale Ave., Highland Mills, NY 10930 Phone: 201-681-4053 Fax: 267-392-7058 | |
Mr. Eric Velazquez-sanchez, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Pine Hill Rd, Highland Mills, NY 10930 Phone: 718-844-1883 | |
Mrs. Gerilyn Catherine Sestok, LCSW-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Birch Rd, Highland Mills, NY 10930 Phone: 845-928-8980 |