Individual
CAROLYN GARVEY-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 OLD COURTHOUSE RD, NEW HYDE PARK, NY 11040-1115
(516) 365-7858
(516) 365-3526
Mailing address
425 OLD COURTHOUSE RD, NEW HYDE PARK, NY 11040-1115
(516) 365-7858
(516) 365-3526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0275911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005088691
AETNA PROVIDER ID
NY
01
—
0069364
GHI PROVIDER ID
NY
01
—
025204
VALUEOPTIONS PROVIDER ID
NY
01
—
049971000
MAGELLAN MIS #
NY
01
—
108741
MHN PROVIDER ID
NY
01
—
112794161
CIGNA PROVIDER ID
NY
01
—
22162
VYTRA PROVIDER ID
NY
01
—
76086949
UNITED HEALTHCARE
NY
01
—
AS138
OXFORD
NY
01
—
N13721
EMPIRE BCBS
NY
Enumeration date
08/13/2006
Last updated
12/14/2011
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