Rachel Beth Gordon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05578600 Issued in NJ

Practice address

101 Route 130 S
Cinnaminson, NJ 08077-2845

Phone

(856) 389-5458

NPI assigned

Oct 30, 2019

Last updated

Oct 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1396389664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "856-389-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "856-389-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05578600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURERS",
            "identifier": "44SC05578600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL INSURERS",
            "identifier": "44SC05578600",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RachelG.rswellness@gmail.com",
            "affiliation": "N",
            "address_1": "101 Route 130 S",
            "city": "Cinnaminson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080772845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Gilbert
• John Gillam, DPT
• Dawn F Gillespie, LCADC
• Jaime Lynn Gladysz
• Maria J Gonzalez, L.C.S.W.
• Janine Graham
• Kellie Grodin, RN
• Ami Gupta, DMD
• Leah V Guzzardo, PT, DPT, PCS
• Hannah Medical Group LLC

• Clinical Social Worker in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.