Active NPI
Gordon Counseling and Case Management PLLC
- Clinical Social Worker
- Holt, MI
National Provider Identifier
1528356474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801034871
- Legal business name
- GORDON COUNSELING AND CASE MANAGEMENT PLLC
- Practice address
- 4463 Cricket Ridge Dr Apt 202
Holt, MI 48842-2933 - Phone
- (517) 281-5718
- NPI assigned
- Jul 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie R Gordon, LMSW
- Title
- Owner
- Phone
- (517) 281-5718
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801034871 | MI | Primary |
Addresses
Primary practice location
4463 Cricket Ridge Dr Apt 202
Holt, MI 48842-2933
Mailing address
PO Box 43
Mason, MI 48854-0043
Phone (517) 623-6260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008975170 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Holt, MI
- NPI 1942387170
-
- Clinical Social Worker
- Grand Ledge, MI
- NPI 1891853883
-
- Clinical Social Worker
- Okemos, MI
- NPI 1467897074
-
- Clinical Social Worker
- Holt, MI
- NPI 1306325881
-
- Clinical Social Worker
- East Lansing, MI
- NPI 1205167111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1528356474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "MASON",
"state": "MI",
"postal_code": "488540043",
"telephone_number": "517-623-6260",
"fax_number": "517-623-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4463 CRICKET RIDGE DR APT 202",
"city": "HOLT",
"state": "MI",
"postal_code": "488422933",
"telephone_number": "517-281-5718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON COUNSELING AND CASE MANAGEMENT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-13",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-281-5718",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801034871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "8008975170",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.