Jane Paula Gordon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

ATC105 Issued in MD

Practice address

300 Talbot St
Easton, MD 21601-3525

Phone

(410) 822-1018

Fax

(410) 820-5884

NPI assigned

Feb 1, 2017

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 names 1

• Jane Paula Potocek 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.

• For All Seasons, Inc

  • Clinical Social Worker
  • Easton, MD
  • NPI 1619087202
  NPD (past)
• For All Seasons, Inc.

  • Clinical Social Worker
  • Chestertown, MD
  • NPI 1083854715
  NPD (past)
• For All Seasons, Inc.

  • Clinical Social Worker
  • Denton, MD
  • NPI 1245479062
  NPD (past)
• For All Seasons, Inc.

  • Clinical Social Worker
  • Cambridge, MD
  • NPI 1871732693
  NPD (past)

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1801334685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "410-822-1018",
            "fax_number": "410-820-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "410-822-1018",
            "fax_number": "410-820-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JANE",
        "middle_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "ATC105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "POTOCEK",
            "middle_name": "PAULA",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glaucoma Consultants of Washington
• Elizabeth Mary Gleeson
• Jennifer Leigh Gleisner, MS, ATC
• Geraldine F Goertzen, MD
• Amber Marie Golshani, N.D.
• Maureen E Gordon, MSPT
• Herbert Paul Gorin, DDS
• Timothy Goslin, COTA
• Messanvi M Gozo, CRNP
• Anne L Grady, D.O.

• All providers in Easton, MD
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.