Phyllis Arlene Gordon, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW00882 Issued in TN

Practice address

600 N Holtzclaw Ave
Ste 100
Chattanooga, TN 37404-1242

Phone

(423) 622-0500

Fax

(423) 622-0564

NPI assigned

Oct 13, 2005

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

Other names 1

• Phyllis Arlene Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Team Centers Inc

  • Psychologist
  • Chattanooga, TN
  • NPI 1992793012

  Clinical

  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740278688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374011065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HOLTZCLAW AVE",
            "address_2": "STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041242",
            "telephone_number": "423-622-0500",
            "fax_number": "423-622-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PHYLLIS",
        "middle_name": "ARLENE",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW00882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3694920",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "JOHNSON",
            "middle_name": "ARLENE",
            "credential": "MSSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Elizabeth Gorby, PMHNP-BC
• Amora Ann Gordon
• Benjamin Gordon
• Jared Gordon, DO
• Kathryne Gordon, BSW
• Randall A Gossett, CRNA
• Sharon Tipton Gothard, ACNP
• Daniel Gottlieb, OD
• Grace Ancillary Services, LLC
• Grace Home Primary Care

• Clinical Social Worker in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.