Jennifer S Gordy, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005385 Issued in NC

Practice address

200 N Main St FL 3
Graham, NC 27253

Phone

(336) 525-1590

NPI assigned

Aug 11, 2006

Last updated

Jul 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Carolina Behavioral Care, P.a.

  • Psychiatry Physician
  • Apex, NC
  • NPI 1932821303
  NPD (past)
• Nuday Case Management Inc

  • Case Management Agency
  • Winston Salem, NC
  • NPI 1417170804
  NPD (past)
• Nuday Case Management Inc

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1457444721
  NPD (past)
• Triumph LLC

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1003961269
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1871504241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WATERCOURSE CIR",
            "address_2": "APT 102",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533193",
            "telephone_number": "336-525-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST FL 3",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "27253",
            "telephone_number": "336-525-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Lyndhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034005",
            "country_code": "US",
            "telephone_number": "336-768-4049",
            "fax_number": "336-768-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDY",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Hans Garone III, COTA/L
• Geris LLC (Geris Clinic)
• Give Christ Adult Care Home
• Give Christ Adult Care Home
• Juan Carlos Gomez, PTA
• Graham Chiropractic and Acupuncture (Graham Chiropractic Health Center)
• Graham Drive Family Care Home
• Graham Mobile Urgent Care PC
• Graham Physical Therapy, LLC
• Graham Urgent Care PA

• Clinical Social Worker in Graham, NC
• Providers in Graham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.