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

Holly Lee Gordon, LCSW

Individual provider Social Worker · NPI 1215169602

Holly Lee Gordon, LCSW is a Clinical Social Worker in Mastic Beach, New York. Qualified in 2002, 24 years ago. Practices with Community Counseling and LCSW Services, an 18-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

468 Main St
Mastic Beach, NY 11951-3407
Phone: (631) 294-0216
Fax: (631) 772-6221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 408 Main St South, Center Moriches, NY 11934 — (631) 772-6220

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 079684-1 (NY)

Record details

NPI number1215169602
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 18, 2009
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Community Counseling And Lcsw Services — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mastic Beach