Active NPI
Ofelia G. Gordon, LCSW, LMFT
- Clinical Social Worker
- Decatur, GA
National Provider Identifier
1740358779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 152
- Practice address
- 2784 N Decatur Rd
Suite 145
Decatur, GA 30033-5903 - Phone
- (404) 292-2664
- Fax
- (404) 292-2835
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 152 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | 303 | GA |
Addresses
Primary practice location
2784 N Decatur Rd
Suite 145
Decatur, GA 30033-5903
Mailing address
2784 N Decatur Rd
Suite 145
Decatur, GA 30033-5903
Phone (404) 292-2664
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152 | GA | MD | Clinical Social Worker |
| 303 | GA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sessley Counesling Services, Inc | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Decatur, GA
- NPI 1902212335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1740358779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2784 N DECATUR RD",
"address_2": "SUITE 145",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335903",
"telephone_number": "404-292-2664",
"fax_number": "404-292-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2784 N DECATUR RD",
"address_2": "SUITE 145",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335903",
"telephone_number": "404-292-2664",
"fax_number": "404-292-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "OFELIA",
"middle_name": "G.",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "152",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.