Organization · Type 2 NPI

Ellen J Gordon Licensed Master Social Worker PC

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1295367019 Active

Practice location

8 Roosevelt Ave
Port Jefferson Station, NY 11776-3337

Call (631) 736-7707 Map

Mailing address

507 Empire Ave
West Babylon, NY 11704-3306

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1295367019

Ellen J Gordon Licensed Master Social Worker PC's National Provider Identifier is 1295367019, issued on Feb 10, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 9, 2022.