Lisa Joy Gordon LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LISA JOY GORDON LLC

Practice address

5904 E Bramble Berry LN
Cave Creek, AZ 85331-1577

Phone

(248) 376-5114

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Joy Gordon, LCSW, ACSW, CCM

Title

LCSW / Owner

Phone

(248) 376-5114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1184285132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 E BRAMBLE BERRY LN",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853311577",
            "telephone_number": "248-376-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 E BRAMBLE BERRY LN",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853311577",
            "telephone_number": "248-376-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA JOY GORDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "LCSW / OWNER",
        "authorized_official_telephone_number": "248-376-5114",
        "authorized_official_credential": "LCSW, ACSW, CCM"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nha T Lien, M.D.
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• Marc L. Lipovitch, PHARM.D
• Elizabeth P Loofbourrow, MFT
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• Shelly Marie Lubbe
• Kelly Lucas
• Maian Pediatrics,PLLC

• Clinical Social Worker in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.