Diane Gordon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200001959 Issued in DC

Practice address

6709 Berkshire Dr
Temple Hills, MD 20748-4060

Phone

(313) 608-5307

NPI assigned

Feb 5, 2007

Last updated

Aug 18, 2026By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diane.gordon.1@30520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Changing Lives Adult & Youth Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Temple Hills, MD
  • NPI 1902241250

  DC

  Medicare reassignment NPD
• K&I Healthcare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
  • NPI 1407409477

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• K&I Healthcare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Landover, MD
  • NPI 1881289635

  Addiction (Substance Use Disorder)

  NPD
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1306864129
  NPD (past)
• New Center Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1588672091
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1477692937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 BERKSHIRE DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484060",
            "telephone_number": "313-608-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 BERKSHIRE DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484060",
            "telephone_number": "313-608-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "LC200001959",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "29535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001959",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olisa Renee Hall, CCC-SLP
• Barbara Hammond
• Marquita Hampshire

• Clinical Social Worker in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.