Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellen J Gordon Licensed Master Social Worker PC

Organization Clinical Social Worker · NPI 1295367019

Ellen J Gordon Licensed Master Social Worker PC provides Clinical Social Worker services in Port Jefferson Station, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8 Roosevelt Ave
Port Jefferson Station, NY 11776-3337
Phone: (631) 736-7707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1295367019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Gordon — Lcsw · (631) 649-6278
NPI enumeratedFebruary 10, 2020
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address507 Empire Ave, West Babylon, NY 11704-3306

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