Melissa Rae Gordon-Pitts, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13672 Issued in MD

Practice address

4921 Professional CT
Suite 201B
Raleigh, NC 27609-4913

Phone

(877) 278-7317

Fax

(877) 278-7317

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Melissa Rae Gordon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Core Health Counseling

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1407212723
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1255429445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PROFESSIONAL CT",
            "address_2": "SUITE 201B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094913",
            "telephone_number": "877-278-7317",
            "fax_number": "877-278-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PROFESSIONAL CT",
            "address_2": "SUITE 201B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094913",
            "telephone_number": "877-278-7317",
            "fax_number": "877-278-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-PITTS",
        "first_name": "MELISSA",
        "middle_name": "RAE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13672",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010020",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413568700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GORDON",
            "middle_name": "RAE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madonna Mason Goodwin, FNP-C
• Goodworth Group Inc
• Lindsay Nicole Goolsby, MS, RD, LDN
• Vanitha Gopal, M.D.
• Abbe Roxanne Gorberg, LPC,RD
• Aaliyah Gordon
• Allison Clark Gordon, PA-C
• Almaree Gordon, CSAC
• Ashley Gordon, MSN, AGCNS-BC
• Hannah Marie Gordon, DO

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.