Jennifer S Gordy, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Graham, NC
NPI 1871504241 · NPPES record last updated Jul 17, 2018
Key facts
- NPI
- 1871504241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C005385 (NC)
- Practice address
- 200 N Main St FL 3
Graham, NC 27253 - Phone
- (336) 525-1590
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Behavioral Care, P.a. | Past | Accepting new patients | |
| Nuday Case Management Inc | Past |
Accepting new patients | |
| Triumph LLC | Clinical | Past | Accepting new patients |
| Nuday Case Management Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005385 | NC | Yes |
Addresses
Primary practice location
200 N Main St FL 3
Graham, NC 27253
Mailing address
1060 Watercourse Cir
Apt 102
Graham, NC 27253-3193
Phone (336) 525-1590
Other practice location 1
2901 Lyndhurst Ave
Winston Salem, NC 27103-4005
Phone (336) 768-4049
Other providers in Graham, NC
- Joseph Hans Garone III
- Geris LLC
- Give Christ Adult Care Home
- Give Christ Adult Care Home
- Juan Carlos Gomez
- Graham Chiropractic and Acupuncture
- Graham Drive Family Care Home
- Graham Mobile Urgent Care PC
- Graham Physical Therapy, LLC
- Graham Urgent Care PA
All providers in Graham, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.