Sheree N Gordon-Jackson, BSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

20600 Chagrin Blvd Ste 320
Shaker Heights, OH 44122-5334

Phone

(216) 295-7239

NPI assigned

Jun 18, 2018

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 names 1

• Sheree N Gordon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/isaoh/r4/

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.

• Specialized Alternatives for Families and Youth of Ohio, Inc.

  • Community/Behavioral Health Agency
  • Lima, OH
  • NPI 1447216718
  NPD
• Integrated Services for Behavioral Health

  • Clinical Social Worker
  • Nelsonville, OH
  • NPI 1073578431
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1336633866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD STE 320",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225334",
            "telephone_number": "216-295-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-JACKSON",
        "first_name": "SHEREE",
        "middle_name": "N",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2001613-TRNE",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEREE",
            "last_name": "GORDON",
            "middle_name": "N",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Godek, LSW
• Zyama Goldman, MD
• Claudia Yuliet Gonzalez
• Jennifer Leigh Gonzalez, QMHS
• Lauren Elizabeth Goodman, M.A. CCC/SLP
• Madison Gordon
• Tania Stern Gordon, MSW, LISW-S
• Amanda M Grabo, R.N.
• Regina Grace
• Tiffaney Gracia

• Case Manager/Care Coordinator in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.