Carol Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7731-123 Issued in WI

Practice address

505 S Dewey St
Suite 208
Eau Claire, WI 54701-3704

Phone

(715) 832-1678

NPI assigned

Jun 7, 2010

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)

Enrolled

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.

• Cornerstone Counseling Services, Inc

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1801116355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S DEWEY ST",
            "address_2": "SUITE 208",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S DEWEY ST",
            "address_2": "SUITE 208",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013704",
            "telephone_number": "715-832-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7731-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mary Goodenough, APNP
• Roberta Goodman, PH.D.
• Janet Leigh Goodwin, MFT
• Julie Kay Goplin, D.C.
• Ann Gordon, G.N.P.
• Jaclyn Morin Gordon, OD
• Norma K Gordon, CRNA
• Kameron Jodi Gorres
• Rebecca A. Gorski, CNM
• Steven J Gort, AGACNP-BC

• Clinical Social Worker in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.