Julie Gordon, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW7151 Issued in AZ

Practice address

4200 N University Dr
Sunrise, FL 33351-6210

Phone

(954) 749-7230

Fax

(954) 749-7231

NPI assigned

Dec 17, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Joel I Kimmel PHD PAGroup PAC ID 1759358161, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joel I Kimmel PHD PA

  • Clinical Psychologist
  • Coral Springs, FL
  • NPI 1922179746
  Medicare reassignment Care Compare group NPD
• Jafco

  • Foster Care Agency
  • Sunrise, FL
  • NPI 1083943237
  NPD (past)
• Jewish Adoption and Foster Care Options,Inc

  • Community/Behavioral Health Agency
  • Sunrise, FL
  • NPI 1356400790
  NPD (past)

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1134465230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N UNIVERSITY DR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516210",
            "telephone_number": "954-749-7230",
            "fax_number": "954-749-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N UNIVERSITY DR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516210",
            "telephone_number": "954-749-7230",
            "fax_number": "954-749-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "SW7151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven David Goodman, D.C.
• Sean Michael Goodrum, CRNA
• Miranda Gopaul, 222Q00000X
• Chazeem Davaughn Gordon
• Jeffery S Gordon, MD
• Roger Lee Gordon, M.D.
• St Christopher Augustus Gordon, DMD
• Suzette Gordon, LMHC
• Tiffany Michelle Gordon
• Celina Gorut

• Mental Health Counselor in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.