Active NPI
Nicole Gordon, LCSW
- Clinical Social Worker
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 098808
- Practice address
- 626 N Alafaya TRL Ste 206
Orlando, FL 32828-4353 - Phone
- (407) 490-4520
- NPI assigned
- May 21, 2021
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 098808 | NY | Primary |
| Clinical Social Worker | 1041C0700X | SW22854 | FL |
Addresses
Primary practice location
626 N Alafaya TRL Ste 206
Orlando, FL 32828-4353
Mailing address
626 N Alafaya TRL Ste 206
Orlando, FL 32828-4353
Phone (863) 420-5499
Other practice location 1
1298 Minnesota Ave Ste C
Winter Park, FL 32789-7104
Phone (407) 490-4520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW22854 | FL | MD | Clinical Social Worker |
| 098808 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminare Psychotherapy PLLC | Current | Accepting new patients |
Locations
626 N Alafaya Trl
Ste 206
Orlando, FL 32828
Phone (407) 802-8582
1298 Minnesota Ave
Ste C
Winter Park, FL 32789
Phone (407) 279-0397
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Winter Park, FL
- NPI 1457201998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1598330615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 N ALAFAYA TRL STE 206",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284353",
"telephone_number": "863-420-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 N ALAFAYA TRL STE 206",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328284353",
"telephone_number": "407-490-4520"
}
],
"practiceLocations": [
{
"address_1": "1298 Minnesota Ave Ste C",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327897104",
"country_code": "US",
"telephone_number": "407-490-4520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "098808",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW22854",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.