Ellen J Gordon Licensed Master Social Worker Pc

LBN: Ellen J Gordon Licensed Master Social Worker Pc
Ellen J Gordon Licensed Master Social Worker Pc is an health care organization with primary practice located at 8 Roosevelt Ave , Port Jefferson Station NY 11776-3337. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Ellen J Gordon Licensed Master Social Worker Pc can be contacted via phone (631) 736-7707, or through Gordon, Ellen via phone (631) 649-6278.

Contact Information

Primary practice address
8 Roosevelt Ave Port Jefferson Station NY 11776-3337
Phone: (631) 736-7707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Ellen
Phone: (631) 649-6278

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1295367019
LBN Legal business name Ellen J Gordon Licensed Master Social Worker Pc
DBA Doing business as
Authorized official Gordon, Ellen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2020
Last updated Mar 9th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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