Robert Harrison Gordon Jr., LCSW, M.ED.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW004584L Issued in PA

Practice address

1201 Broad Rock Blvd
Hunter Holmes McGuire Vamc
Richmond, VA 23249-0001

Phone

(434) 963-2335

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1285677989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 EDGEWATER DR",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229633362",
            "telephone_number": "434-589-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "HUNTER HOLMES MCGUIRE VAMC",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "434-963-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ROBERT",
        "middle_name": "HARRISON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW, M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW004584L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Bryce Gordon, OD
• Laura M Gordon, MD
• Leteisha Mechi'Ell Gordon
• Martin Blackwell Gordon, LCSW
• Nakeisha Ann Gordon, LPC
• Rose Cooper Gordon
• Sarah Wilema Gordon, D.O.
• Sheila Marie Gordon, PHARMD
• Tiara Gordon
• Brooke Gore, DNP, FNP-BC

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.