Individual provider Active NPI

Emily Gordon, MSW, M.ED, LCSW, CST

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1588104491
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022260 Issued in IL
Practice address
3759 N Ravenswood Ave Ste 224
Chicago, IL 60613-3997
Phone
(312) 327-3356
NPI assigned
Feb 27, 2017
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022260 IL Primary

Addresses

Primary practice location

3759 N Ravenswood Ave Ste 224
Chicago, IL 60613-3997

Mailing address

3759 N Ravenswood Ave Ste 224
Chicago, IL 60613-3997
Phone (312) 327-3356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 17, 2023 through Feb 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
149.022260ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services,LTD Past Accepting new patients
Center for Psychological Services - Oak Lawn LTD PastSince Dec 17, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1588104491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE STE 224",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133997",
            "telephone_number": "312-327-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 N RAVENSWOOD AVE STE 224",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133997",
            "telephone_number": "312-327-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EMILY",
        "credential": "MSW, M.ED, LCSW, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.