Holly Gordon, LCSW
NPI 1215169602 · Social Worker · Mastic Beach, NY
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holly Gordon, LCSW is a Social Worker provider in Mastic Beach, NY (NPI 1215169602).
Provider details
- NPI number
- 1215169602
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 079684-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 408 Main St SouthCenter Moriches, NY 11934Phone: (631) 772-6220Fax: (631) 772-6221
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Holly Gordon's NPI number?
- Holly Gordon's National Provider Identifier (NPI) is 1215169602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Holly Gordon's specialty?
- Holly Gordon is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Holly Gordon located?
- Holly Gordon's practice location on file with NPPES is 468 Main St, Mastic Beach, NY 11951-3407.
- What is Holly Gordon's phone number?
- The practice phone number listed in the NPPES registry for Holly Gordon is (631) 294-0216.
- Does Holly Gordon accept Medicare?
- Holly Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Holly Gordon's NPI active?
- Yes — Holly Gordon's NPI (1215169602) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.