Sheila H Gordon, ACSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002376 Issued in VA

Practice address

6353 Center Drive
Ste 204
Norfolk, VA 23502

Phone

(757) 461-3313

Fax

(757) 461-8363

NPI assigned

Aug 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1417968553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 CENTER DRIVE",
            "address_2": "STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-461-3313",
            "fax_number": "757-461-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 CENTER DRIVE",
            "address_2": "STE 204",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23502",
            "telephone_number": "757-461-3313",
            "fax_number": "757-461-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SHEILA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "ACSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008909644",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James M Gordon, MD
• Jason Gordon, M.D.
• Jennifer R Gordon
• Leanne C Gordon, NP
• Leonard B Gordon, IDC/SMDR
• Stephanie Gore, LCSW
• Michael J. Goretsky, M.D.
• Trevor Wesley Goring, PT,DPT
• Kevin Gosik
• Antoinette Goss, LPC

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, 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 Nov 22, 2011; 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.