National Provider Identifier

Nelima W Gaonkar, LCSW-R

Nelima W Gaonkar, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (315) 254-6870.

NPI 1629211578Ithaca, NYClinical Social Worker

Profile Overview

NPI
1629211578
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
April 08, 2009
Last Updated
December 27, 2021

Practice Location

  • 108 S Albany St
  • Ithaca, NY 14850-5446

Phone: (315) 254-6870

Mailing Address

  • PO Box 475
  • Ithaca, NY 14851-0475

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1629211578
Entity Type
Individual
Last Name
Gaonkar
First Name
Nelima
Middle Name
W
Name Prefix
MS.
Credential
LCSW-R
Mailing Street Address
PO Box 475
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14851-0475
Mailing Country
US
Mailing Phone
(607) 729-6206
Mailing Fax
(607) 729-6206
Practice Street Address
108 S Albany St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5446
Practice Country
US
Practice Phone
(315) 254-6870
Enumeration Date
April 08, 2009
Last Updated
December 27, 2021
Sex
Female
Sole Proprietor
No
Certification Date
December 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)