Gordon Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090400826 Issued in VA

Legal business name

GORDON WELLNESS LLC

Practice address

610 Thimble Shoals Blvd # 403
Newport News, VA 23606-2573

Phone

(757) 534-7840

Fax

(757) 506-0432

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Tonya Dorline Johnson, LCSW

Title

Owner

Phone

(757) 534-7840

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Florence Lamarsha Bivins

  • Social Worker
  • Newport News, VA
  • NPI 1851025944
  NPD
• Karimah Patrice O'Garro, MSW, LMHP-S

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1093464844
  NPD
• Hazel Lee Ruff-James, FNP-BC

  • Family Nurse Practitioner
  • Eloise, FL
  • NPI 1639319114
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1376928101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD",
            "address_2": "401-A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-534-7840",
            "fax_number": "757-534-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 THIMBLE SHOALS BLVD # 403",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062573",
            "telephone_number": "757-534-7840",
            "fax_number": "757-506-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "DORLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-534-7840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090400826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford T Goodwin, D.D.S.
• Kimberly Goodwin
• Lori M Goodwin, MD
• Rachel Goodwyn, LPC
• Rwanda Goolsby
• Aliya Simcha Gordon
• Shennel Gordon
• David Leon Gore Jr., MD
• Savannah Gore
• Laura Gorenc, ED.S.

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, 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 Jul 9, 2024; 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.