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

Ellen J Gordon Licensed Master Social Worker PC

Organization Clinical Social Worker · NPI 1295367019

Ellen J Gordon Licensed Master Social Worker PC is a Clinical Social Worker 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

Other providers in Port Jefferson Station