Active NPI
Garrick Gordon Sr.
- Social Worker
- Baton Rouge, LA
National Provider Identifier
1841665353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 9270 Siegen LN
Ste 101
Baton Rouge, LA 70810-1998 - Phone
- (225) 442-3540
- NPI assigned
- Dec 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
9270 Siegen LN
Ste 101
Baton Rouge, LA 70810-1998
Mailing address
9270 Siegen LN
Ste 101
Baton Rouge, LA 70810-1998
Phone (225) 442-3540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1841665353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9270 SIEGEN LN",
"address_2": "STE 101",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101998",
"telephone_number": "225-442-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9270 SIEGEN LN",
"address_2": "STE 101",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101998",
"telephone_number": "225-442-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "GARRICK",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.