Doctor Name: | SCOTT ROBERT GORKIN |
NPI Number: | 1053552794 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSW/R |
License Number: | R029398-1 |
Business Practice Address: | 37-35 Purchase Street Rye, NY - 10580 |
Business Phone Number: | 9149676848 |
Business Fax Number: | |
Mailing Address: | 50 Albemarle Rd, WHITE PLAINS |
State: | NY |
Postal Code: | 106053302 |
Phone Number: | 9144281178 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2009 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R029398-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |