Adam J Gordon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

67787 Issued in TX

Practice address

6363 Dezavala Rd
San Antonio, TX 78249

Phone

(210) 399-4838

NPI assigned

Aug 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1104472935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OAK HOLLOW DR",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781219788",
            "telephone_number": "254-717-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 DEZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-399-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "67787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://myevolvcvn.netsmartcloud.com/login.aspx?mobile=false",
            "affiliation": "N",
            "endpointDescription": "Netsmart is the electronic health record we currently have in place for secure communication between providers.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6363 Dezavala Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sonal D Gopal
• Sanjeev K Gopalakrishnan, D.D.S
• James Ernest Goral, M.D.
• Michael Steven Gorday, D.D.S., M.H.S.
• Michele Quinn Gorden, RDH, BS, MA
• Amanda Gordon, MSN, APRN, FNP-C
• Amy Lee Gordon, CPHT
• Audrey Nicole Gordon, LPC. LCDC
• David H Gordon, M.D.
• Gregory D Gordon Jr., MD

• Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.