Tanesha Gordon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122331 Issued in MA

Practice address

280 N Main St Ste 6
East Longmeadow, MA 01028-1814

Phone

(413) 486-0163

NPI assigned

Feb 6, 2020

Last updated

Feb 6, 2020By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 413Therapy Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Longmeadow, MA
  • NPI 1184183790

  Clinical

  NPD
• Panda Bugs, Inc.

  • Clinical Social Worker
  • East Longmeadow, MA
  • NPI 1902697659
  NPD

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1578195764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST STE 6",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281814",
            "telephone_number": "413-486-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST STE 6",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281814",
            "telephone_number": "413-486-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TANESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "122331",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.413therapygroup.com",
            "affiliation": "N",
            "address_1": "280 N Main St Ste 6",
            "city": "East Longmeadow",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010281814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Elizabeth Ginn, P.T.A.
• Golden Years Behavioral Health Group Inc.
• Golden Years Behavioral Health Group Inc.
• Golden Years Home Care Services of Massachusetts
• Golden Years Home Health Care Services, Inc.
• Liza Gowing
• Karter Kency Grant, LMHC, NCC
• Melissa Leigh Guilbeault, M.ED
• Muhammad A Gul, MD
• Aneta Anna Gwozdzik, C.O.T.A.

• Clinical Social Worker in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.