Heidi Shamene Gordon, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015918 Issued in NC

Practice address

9216 Arbourgate Meadows LN
Charlotte, NC 28277-9073

Phone

(980) 808-9674

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Little-Gerald Services

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1093114670
  NPD (past)
• Training & Treatment Innovations, Inc.

  • Nursing Care Agency
  • Flint, MI
  • NPI 1982854105

  Clinical

  NPD (past)
• Training and Treatment Innovations Inc

  • Public Health or Welfare Agency
  • Sterling Heights, MI
  • NPI 1295084721
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1104076744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 ARBOURGATE MEADOWS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779073",
            "telephone_number": "980-808-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 ARBOURGATE MEADOWS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779073",
            "telephone_number": "980-808-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "HEIDI",
        "middle_name": "SHAMENE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles David Gordon, M.D.
• Coleen Gordon
• Dahlia K Gordon, MS, RD, LDN
• Damon L Gordon
• Eno Ekwere Gordon, PT
• Jeniyah Imani Gordon
• Nakia S Gordon, PHD
• Sarah M. Gordon, LCSW
• Shayna Gordon
• Sherri L Gordon, PT

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.