| Ellen J Gordon Licensed Master Social Worker Pc | |
|
8 Roosevelt Ave Port Jefferson Station NY 11776-3337 | |
| (631) 736-7707 | |
| Not Available |
| Full Name | Ellen J Gordon Licensed Master Social Worker Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8 Roosevelt Ave, Port Jefferson Station, New York |
| Authorized Official Name and Position | Ellen Gordon (LCSW) |
| Authorized Official Contact | 6316496278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen J Gordon Licensed Master Social Worker Pc 507 Empire Ave West Babylon NY 11704-3306 Ph: (631) 649-6278 | Ellen J Gordon Licensed Master Social Worker Pc 8 Roosevelt Ave Port Jefferson Station NY 11776-3337 Ph: (631) 736-7707 |
| NPI Number | 1295367019 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295367019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Suffolk Brain And Nerve, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776 Phone: 631-410-9420 Fax: 631-410-2017 | |
Turning Point Therapy, Lcsw, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1050 Hallock Ave Ste 2, Port Jefferson Station, NY 11776 Phone: 631-793-9517 | |
Social Work For Counseling For Inspirational Living Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6 Roosevelt Ave Ste 2, Port Jefferson Station, NY 11776 Phone: 631-474-1533 Fax: 631-474-1533 | |
Rise Therapy Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-253-8512 | |
Community Growth Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-240-3471 | |
Changing Seasons Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-209-7042 |