Nancy Margaret Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

428 Issued in OR

Practice address

6669 Archwood Ave
San Diego, CA 92120-2401

Phone

(858) 472-5722

NPI assigned

Apr 3, 2020

Sex

Female

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1396374161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601784",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921601784",
            "telephone_number": "858-472-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6669 ARCHWOOD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202401",
            "telephone_number": "858-472-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NANCY",
        "middle_name": "MARGARET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Gordon, MSW
• Megan Gordon
• Meryl Gordon
• Michael Gordon, M.D.
• Monisha Carol Gordon, PH.D.
• Richard L Gordon, PHARM. D.
• Robert Gordon, BCBA
• Ryan James Gordon, SFIDC
• Susan G. Gordon, LCSW
• Talia Gordon, PT, DPT

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 Apr 3, 2020; 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.