Monique G Gordon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC13588 Issued in ME

Practice address

3895 W River Rd
Sidney, ME 04330-2434

Phone

(207) 547-4464

Fax

(207) 547-4686

NPI assigned

May 6, 2011

Last updated

Aug 18, 2015By 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 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nfi North, Inc

  dba Sidney Riverbend

  • Psychiatric Residential Treatment Facility
  • Sidney, ME
  • NPI 1992871222
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1821380015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021805",
            "telephone_number": "207-631-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3895 W RIVER RD",
            "city": "SIDNEY",
            "state": "ME",
            "postal_code": "043302434",
            "telephone_number": "207-547-4464",
            "fax_number": "207-547-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MONIQUE",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13588",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC12638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan C Breton, SPEECH CLINICIAN
• John Philip Depue, PHARMD
• Elr Care Maine LLC (Snow Pond RCC)
• Lawrence Furst II
• Sacha R Genest
• Jean N. Hair Counseling Services Ince
• Justine J Labier
• Vivian Labonte
• John D Matzen, LMT
• Nfi North, Inc (Sidney Riverbend)

• Clinical Social Worker in Sidney, ME
• Providers in Sidney, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.