Individual provider · Type 1 NPI

Rebecca Ann Gordon, LCSW

Clinical Social Worker · East Patchogue, NY

NPI number 1255813796 Active

Practice location

119 Pine Neck Ave
East Patchogue, NY 11772-5727

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X094189 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1255813796

Rebecca Ann Gordon, LCSW's National Provider Identifier is 1255813796, issued on Aug 31, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Patchogue, NY. The record was last updated on Jan 7, 2026.