Individual provider Active NPI

Nicole Gordon, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1598330615
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098808 Issued in NY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SW22854FLMDClinical Social Worker
098808NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.