Individual provider Active NPI

Natalie Gordon, LCSW

  • Clinical Social Worker
  • Lutz, FL
National Provider Identifier
1750640561
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW12777 Issued in FL
Practice address
15821 Stags Leap Dr
Lutz, FL 33559-2000
Phone
(813) 363-5138
NPI assigned
May 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12777 FL Primary

Addresses

Primary practice location

15821 Stags Leap Dr
Lutz, FL 33559-2000

Mailing address

15821 Stags Leap Dr
Lutz, FL 33559-2000
Phone (813) 363-5138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190426000404 FL Practitioner - Clinical Social Worker 3577805357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12777FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health Mi PLLC CurrentSince May 1, 2025 Accepting new patients
Workit Health Mi PLLC CurrentSince May 1, 2025 Accepting new patients
Bridges Community Services Inc Past Accepting new patients

Locations

600 Heritage Dr
Ste 200
Jupiter, FL 33458
Phone (561) 354-1525

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1750640561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 STAGS LEAP DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335592000",
            "telephone_number": "813-363-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 STAGS LEAP DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335592000",
            "telephone_number": "813-363-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NATALIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.