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

Theodor Gervais

Individual provider Clinical Social Worker · NPI 1508603457

Theodor Gervais is a Clinical Social Worker in Hempstead, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024

Practice location Address checks out

303 Main St Apt 134
Hempstead, NY 11550-1442
Phone: (347) 863-1298
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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 · Licence 44SL06933000 (NJ)

Record details

NPI number1508603457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address303 Main St Apt 134, Hempstead, NY 11550-1442

Other providers in Hempstead