Lisa Gordner LCSW PLLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

LISA GORDNER LCSW PLLC

Practice address

5297 Parkside Dr Ste 306a
Canandaigua, NY 14424-7504

Phone

(412) 874-7659

Fax

(412) 874-7659

NPI assigned

Jun 14, 2025

Organization subpart

No

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

Authorized official

Name

Lisa M Gordner, LCSWNPI 1467176974

Title

Owner

Phone

(412) 874-7659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa Gordner, LCSW

  • Clinical Social Worker
  • Canandaigua, NY
  • NPI 1467176974
  NPD Authorized official

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749859200000",
    "number": "1477449734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5297 PARKSIDE DR STE 306A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247504",
            "telephone_number": "412-874-7659",
            "fax_number": "412-874-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5297 PARKSIDE DR STE 306A",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247504",
            "telephone_number": "412-874-7659",
            "fax_number": "412-874-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA GORDNER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "GORDNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-874-7659",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Jacqueline C.M. Lincoln, LCSW
• Laura Ann Lindsay, PA
• John Clayton Link, L.M.T.
• Whitney Justine Lipp, M.S., OTR/L
• Christa Liseno, PSYD
• Susan Theresa Lisi
• Michael Loeb, MD
• Bernard A Logan Jr., PA
• Jonathan Logan, M.D.

• Point of Service in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.