Mary Gordon

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Washington, DC

NPI 1184201212 · NPPES record last updated Mar 25, 2021

Key facts

NPI
1184201212
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2112 F St NW Ste 102
Washington, DC 20037-2722
Phone
(202) 349-3236
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Foundation for Contemporary Mental Health Past
since Mar 28, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X Yes

Addresses

Primary practice location

2112 F St NW Ste 102
Washington, DC 20037-2722

Mailing address

2112 F St NW Ste 102
Washington, DC 20037-2722
Phone (202) 349-3236

Other providers in Washington, DC

All providers in Washington, DC · Addiction (Substance Use Disorder) Counselor in District of Columbia

Sources for this page

Verify at the official NPI Registry.