Alan T Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25632 Issued in CA

Practice address

1247 7TH St Ste 300
Santa Monica, CA 90401-1644

Phone

(310) 945-6811

NPI assigned

Mar 7, 2007

Last updated

Sep 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1386775104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 VIA MARINA # 1302",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925385",
            "telephone_number": "310-945-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 7TH ST STE 300",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011644",
            "telephone_number": "310-945-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Goodwin
• Clarissa A Gooze, FNP
• Natasha Gorby, OTR/L
• Gordon Averill, DMD and Angie Dunkling, DMD Dental Services Inc (26th Street Dental)
• Evan Ross Gordon-Wollin, D.O.
• Bruce R. Gordon, PH.D.
• Claire Gordon
• Earl Mark Gordon, M.D.
• Edward Francis Gordon, L.AC.
• Erlinda Maria Gordon, MD

• Clinical Social Worker in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.