Brady Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125607 Issued in CA

Practice address

725 30TH St Ste 102
Sacramento, CA 95816-3842

Phone

(916) 587-0802

NPI assigned

Jan 3, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1225677545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188292",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958188292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 30TH ST STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163842",
            "telephone_number": "916-587-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BRADY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Maria Gorban
• Brian Joanem Gordillo
• Gordon Standard Healthcare Solutions
• Alicia Gordon
• Anthony Thomas Gordon IV, MD
• Brent Kobe Gordon, M.D.
• Bruce L. Gordon, MD
• Jody Gordon, M.D.
• Kaia Gordon
• Kevin Darelle Gordon, NP

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.