Paula S. Gordy Lisw, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PAULA S. GORDY LISW, LLC

Practice address

501 N 12TH St Ste 1
Centerville, IA 52544-1439

Phone

(641) 856-2688

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Paula Sue Gordy, LISWNPI 1912052325

Title

Owner

Phone

(641) 856-2688

Specialties & licenses 1

Addresses

Tax ID family

Paula S Gordy Lisw LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paula S. Gordy Lisw, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, IA
  • NPI 1174858963
  NPD tax ID

Locations

Practitioners 1

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

• Paula Sue Gordy, LISW

  • Clinical Social Worker
  • Centerville, IA
  • NPI 1912052325
  NPD (past) Authorized official

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1508440413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 12TH ST STE 1",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441439",
            "telephone_number": "641-856-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 12TH ST STE 1",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441439",
            "telephone_number": "641-856-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA S. GORDY LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "GORDY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-856-2688",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Nicole Ocker
• Candace Marie Oliver, PHARM.D
• Cassie Parrish, ARNP
• Paula S. Gordy Lisw, LLC
• Paula S. Gordy Lisw, LLC
• Samantha Payne, ARNP
• Michelle Margaret Pettengill, BA, CADC
• Cristina Mihaela Petty
• Paul David Poncy, D.O.
• Positive Intervention Pediatric Behavioral Health

• Occupational Therapist in Centerville, IA
• Providers in Centerville, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.