Gordon, Kerensa Daniela

Gordon, Kerensa Daniela is an sole proprietor health care provider with primary practice located at 858 E 29Th St , Brooklyn NY 11210-2927. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gordon, Kerensa Daniela can be contacted via phone (718) 859-4500.

Contact Information

Primary practice address
858 E 29Th St Brooklyn NY 11210-2927
Phone: (718) 859-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 443701101 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 091284 New York

Profile Details

NPI number 1750722062
LBN Legal business name Gordon, Kerensa Daniela
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2013
Last updated Mar 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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