Gregory P. Gordon,LCSW,Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34002553A Issued in IN

Legal business name

GREGORY P. GORDON,LCSW,INC.

Practice address

1101 Lincoln Ave
Evansville, IN 47714-1028

Phone

(812) 455-3203

Fax

(812) 401-3090

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Peter Gordon, L.C.S.W.

Title

President

Phone

(812) 455-3203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1669666046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141028",
            "telephone_number": "812-455-3203",
            "fax_number": "812-401-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141028",
            "telephone_number": "812-455-3203",
            "fax_number": "812-401-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P. GORDON,LCSW,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-455-3203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34002553A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagail D Greenley, RN
• Susan Lynn Greenwell, FNP-C
• Chrystal Susan Greer, PTA
• David B. Greer, M.D.
• Gregg J. Gormley, DVM
• Carletta Sue Gregory, MT-BC
• Cierra Gregory
• Mary Margaret Gregory, FNP-C
• Zachary Gregory
• Sandra Gregson, RBT

• Community/Behavioral Health Agency in Evansville, IN
• Providers in Evansville, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.