Individual provider Active NPI

Janet Gordon-Slakoff, LCSW

  • Clinical Social Worker
  • Parkland, FL
National Provider Identifier
1346566247
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2348 Issued in FL
Practice address
6161 NW 80TH Ter
Parkland, FL 33067-1132
Phone
(954) 383-4804
Fax
(510) 880-7627
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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 SW2348 FL Primary

Addresses

Primary practice location

6161 NW 80TH Ter
Parkland, FL 33067-1132

Mailing address

6161 NW 80TH Ter
Parkland, FL 33067-1132
Phone (954) 383-4804

Other names 1

  • Jan Gordon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW2348FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1346566247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 NW 80TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671132",
            "telephone_number": "954-383-4804",
            "fax_number": "510-880-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 NW 80TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671132",
            "telephone_number": "954-383-4804",
            "fax_number": "510-880-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-SLAKOFF",
        "first_name": "JANET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "GORDON",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.