Individual provider Active NPI

Michelle Linette Gordon-Akinola, LCSW

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1184947632
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0001240 Issued in DE
Practice address
1114 S Dupont Hwy
Dover, DE 19901-4401
Phone
(302) 454-7520
NPI assigned
Mar 11, 2010
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0001240 DE Primary

Addresses

Primary practice location

1114 S Dupont Hwy
Dover, DE 19901-4401

Mailing address

1114 S Dupont Hwy
Dover, DE 19901-4401
Phone (302) 454-7520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20140404001039 DE Practitioner - Clinical Social Worker 4082846068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coras Wellness and Behavioral Health LLCGroup PAC ID 1456741248, 14 clinicians

Practice addresses (Care Compare)

1114 S Dupont Hwy
Dover, DE 19901-4401
Phone (833) 886-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0001240DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coras Wellness and Behavioral Health, LLC CurrentSince Mar 22, 2025 Accepting new patients
Debussy and Associates Behavioral Health LLC Past Accepting new patients
Connections Community Support Programs, Inc. Past Accepting new patients
Horizon House, Inc. Past Accepting new patients

Locations

1114 S DuPont Hwy
Dover, DE 19901
Phone 3026729360 ext. 4617

5 East St
Harrington, DE 19952

315 Old Landing Rd
Millsboro, DE 19966
Phone (302) 353-0762

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1184947632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 S DUPONT HWY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014401",
            "telephone_number": "302-454-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S DUPONT HWY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014401",
            "telephone_number": "302-454-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-AKINOLA",
        "first_name": "MICHELLE",
        "middle_name": "LINETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0001240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.