MEDICARE: MS. AUGUSTA GORDON LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	085939-1	NY
2	1041C0700X	Clinical Social Worker	085939-1	NY

General Provider Information

NPI Number	:	1285997593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AUGUSTA GORDON LCSW-R

Provider Business Mailing Address
First Line	:	117 DOBBIN ST STE 204A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-2803
Country	:	US
Telephone Number	:	347-255-7637
Fax Number	:	347-255-7637

Provider Business Practice Location Address
First Line	:	117 DOBBIN ST STE 204A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-2803
Country	:	US
Telephone Number	:	347-255-7637
Fax Number	:	347-255-7637

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2012
Last Update Date	:	07/02/2019

Similar Medicare Providers

1639809700 — JESSICA FLYNN LCSW
Practice Location Address:

117 DOBBIN ST STE 304
BROOKLYN, NY
11222-2803

Practice Phone: 646-881-0305
Practice Fax:

1407556780 — ANNA SIMIDIAN MA
Practice Location Address:

117 DOBBIN ST STE 204A
BROOKLYN, NY
11222-2803

Practice Phone: 347-255-1747
Practice Fax:

1497515258 — JESSICA KEENEY LMHC
Practice Location Address:

117 DOBBIN ST STE 204A
BROOKLYN, NY
11222-2803

Practice Phone: 347-255-7637
Practice Fax:

1720335250 — MR. RAYMOND P BATISTA LCSW
Practice Location Address:

117 DOBBIN ST STE 305B
BROOKLYN, NY
11222-2803

Practice Phone: 850-764-3770
Practice Fax: 850-764-3770

1952738544 — DR. JENNIFER ANDERSEN PSYD
Practice Location Address:

117 DOBBIN ST STE 305D
BROOKLYN, NY
11222-2803

Practice Phone: 347-651-1228
Practice Fax:

1275958126 — KRISTEN DINITTO LCSW
Practice Location Address:

117 DOBBIN ST STE 305B
BROOKLYN, NY
11222-2803

Practice Phone: 347-668-1490
Practice Fax:

Directions to “ MS. AUGUSTA GORDON LCSW-R” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.