Allison L Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008339 Issued in IL

Practice address

633 Skokie Blvd
260
Northbrook, IL 60062-2858

Phone

(847) 480-0300

Fax

(847) 291-0576

NPI assigned

Jul 21, 2010

Last updated

Jul 21, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1790098572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 SKOKIE BLVD",
            "address_2": "260",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622858",
            "telephone_number": "847-480-0300",
            "fax_number": "847-291-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SKOKIE BLVD",
            "address_2": "260",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622858",
            "telephone_number": "847-480-0300",
            "fax_number": "847-291-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ALLISON",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Marie Abad Gonzales, OTRL
• Anna-Christina Gonzalez
• Rachel Michelle Gonzalez
• Ashley Goodsell
• Arnold W Gorchow, DDS
• Cynthia Lee Gordon, MD
• Martine Gorstein, PSY.D.
• Michael Gortowski
• Kelly Marie Gorz, D.N.
• Joy Goscinski-Jones, RBT-19-77243

• Clinical Social Worker in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.